Document Detail

Controversies in the therapy of isolated congenital complete heart block.
MedLine Citation:
PMID:  20421761     Owner:  NLM     Status:  MEDLINE    
Controversies in the therapy of congenital complete heart block are reviewed in terms of the timing of pacemaker implantation, the type and complications of pacing and its role in the presence of myocardial dysfunction. Drug treatment may be useful in selected cases in the presence of pleural effusions, ascites and hydrops of the fetus, but have no effect on complete heart block. Administration of fluorinated steroids in anti-Ro antibody-positive mothers with the aim of preventing complete heart block has given controversial results. Because of the variety of the clinical presentations, especially in regard to pacing therapy, it is mandatory to refer patients with congenital complete heart block to specialized centers with adequate resources and experienced personnel.
Alberto Dolara; Silvia Favilli
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-27     Completed Date:  2010-08-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  426-30     Citation Subset:  IM    
Agenzia Regionale Sanità, Regione Toscana, Italy. <>
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MeSH Terms
Cardiac Pacing, Artificial*
Heart Block / complications,  congenital,  therapy*
Heart Defects, Congenital / complications,  therapy*
Ventricular Dysfunction / complications

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