What is the risk of conduction abnormalities and bradycardic events in pediatric patients with restrictive cardiomyopathy?
Pediatric patients with restrictive cardiomyopathy are at significant risk for acute high-grade heart block, warranting aggressive ECG monitoring and consideration of prophylactic pacemaker or defibrillator implantation.
Pediatric patients with restrictive cardiomyopathy are at risk for acute high-grade heart block, and, in this cohort, bradycardic events represented a significant portion of all arrhythmic events. Aggressive ECG monitoring strategies looking for conduction system disease should be ongoing in all patients with restrictive cardiomyopathy. Implantation of a defibrillator/pacemaker should be considered as prophylactic management.
Walsh et al. (Fri,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: