Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1982 Sep;48(3):236–239. doi: 10.1136/hrt.48.3.236

Complete congenital heart block. Report of 35 cases.

J M Reid, E N Coleman, W Doig
PMCID: PMC481235  PMID: 7104115

Abstract

Congenital complete atrioventricular block is uncommon, and the outlook is usually regarded as favourable. Thirty-five patients with congenital heart block are presented. There was no obvious sex difference and their ages ranged from 12 days to 85 years, though most were under the age of 20 years when first seen. Accompanying heart disease was noted in six, but presentation with symptoms in early infancy was a more serious risk factor in our experience. Permanent pacing was required in 21, three of whom were neonates. One of the 14 unpaced patients died unexpectedly at the age of 5 years. Long term supervision is necessary, as most will require permanent pacing before their 50th birthday.

Full text

PDF
236

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson R. H., Wenick A. C., Losekoot T. G., Becker A. E. Congenitally complete heart block. Developmental aspects. Circulation. 1977 Jul;56(1):90–101. doi: 10.1161/01.cir.56.1.90. [DOI] [PubMed] [Google Scholar]
  2. CAMPBELL M., THORNE M. G. Congenital heart block. Br Heart J. 1956 Jan;18(1):90–101. doi: 10.1136/hrt.18.1.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chardack W. M., Gage A. A., Federico A. J., Schimert G., Greatbatch W. The long-term treatment of heart block. Prog Cardiovasc Dis. 1966 Sep;9(2):105–135. doi: 10.1016/s0033-0620(66)80001-4. [DOI] [PubMed] [Google Scholar]
  4. Esscher E., Scott J. S. Congenital heart block and maternal systemic lupus erythematosus. Br Med J. 1979 May 12;1(6173):1235–1238. doi: 10.1136/bmj.1.6173.1235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Harris A., Davies M., Redwood D., Leatham A., Siddons H. Aetiology of chronic heart block. A clinico-pathological correlation in 65 cases. Br Heart J. 1969 Mar;31(2):206–218. doi: 10.1136/hrt.31.2.206. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kenmure A. C., Cameron A. J. Congenital complete heart block in pregnancy. Br Heart J. 1967 Nov;29(6):910–912. doi: 10.1136/hrt.29.6.910. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Krongrad E. Prognosis for patients with congenital heart disease and postoperative intraventricular conduction defects. Circulation. 1978 May;57(5):867–870. doi: 10.1161/01.cir.57.5.867. [DOI] [PubMed] [Google Scholar]
  8. LEV M. THE PATHOLOGY OF COMPLETE ATRIOVENTRICULAR BLOCK. Prog Cardiovasc Dis. 1964 Jan;6:317–326. doi: 10.1016/s0033-0620(64)80005-0. [DOI] [PubMed] [Google Scholar]
  9. Lenègre J., Deparis M., Auzépy P., Gay J. Deux cas (l'un anatomo-clinique) de bloc auriculo-ventriculaire probablement congénital et d'évolution régressive. Arch Mal Coeur Vaiss. 1970 May;63(5):749–763. [PubMed] [Google Scholar]
  10. Lev M., Cuadros H., Paul M. H. Interruption of the atrioventricular bundle with congenital atrioventricular block. Circulation. 1971 May;43(5):703–710. doi: 10.1161/01.cir.43.5.703. [DOI] [PubMed] [Google Scholar]
  11. Lev M., Silverman J., Fitzmaurice F. M., Paul M. H., Cassels D. E., Miller R. A. Lack of connection between the atria and the more peripheral conduction system in congenital atrioventricular block. Am J Cardiol. 1971 May;27(5):481–490. doi: 10.1016/0002-9149(71)90410-3. [DOI] [PubMed] [Google Scholar]
  12. MOLTHAN M. E., MILLER R. A., HASTREITER A. R., PAUL M. H. Congenital heart block with fatal Adams-Stokes attacks in childhood. Pediatrics. 1962 Jul;30:32–41. [PubMed] [Google Scholar]
  13. McCue C. M., Mantakas M. E., Tingelstad J. B., Ruddy S. Congenital heart block in newborns of mothers with connective tissue disease. Circulation. 1977 Jul;56(1):82–90. doi: 10.1161/01.cir.56.1.82. [DOI] [PubMed] [Google Scholar]
  14. Michaëlsson M., Engle M. A. Congenital complete heart block: an international study of the natural history. Cardiovasc Clin. 1972;4(3):85–101. [PubMed] [Google Scholar]
  15. Reid J. M., Coleman E. N., Doig W. Reversion to sinus rhythm 11 years after surgically induced heart block. Br Heart J. 1976 Nov;38(11):1217–1219. doi: 10.1136/hrt.38.11.1217. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Rosen K. M., Mehta A., Rahimtoola S. H., Miller R. A. Sites of congenital and surgical heart block as defined by His bundle electrocardiography. Circulation. 1971 Nov;44(5):833–841. doi: 10.1161/01.cir.44.5.833. [DOI] [PubMed] [Google Scholar]
  17. Rytand D. A., Stinson E., Kelly J. J., Jr Remission and recovery from chronic, established, complete heart block. Am Heart J. 1976 May;91(5):645–652. doi: 10.1016/s0002-8703(76)80151-2. [DOI] [PubMed] [Google Scholar]
  18. Stephensen O., Cleland W. P., Hallidie-Smith K. Congenital complete heart block and persistent ductus arteriosus associated with maternal systemic lupus erythematosus. Br Heart J. 1981 Jul;46(1):104–106. doi: 10.1136/hrt.46.1.104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Taylor M. R., Godfrey S. Exercise studies in congenital heart block. Br Heart J. 1972 Sep;34(9):930–935. doi: 10.1136/hrt.34.9.930. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Winkler R. B., Freed M. D., Nadas A. S. Exercise-induced ventricular ectopy in children and young adults with complete heart block. Am Heart J. 1980 Jan;99(1):87–92. doi: 10.1016/0002-8703(80)90317-8. [DOI] [PubMed] [Google Scholar]
  21. Winkler R. B., Nora A. H., Nora J. J. Familial congenital complete heart block and maternal systemic lupus erythematosis. Circulation. 1977 Dec;56(6):1103–1107. doi: 10.1161/01.cir.56.6.1103. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES