Coexisting preexcitation syndrome and intermittent heart block presenting as neonatal seizures.

Journal Article (Journal Article)

An infant presented with neonatal syncope and seizures. An ECG showed a preexcitation pattern, most compatible with Wolff-Parkinson-White (WPW) syndrome. Rhythm monitoring during an event demonstrated prolonged periods of complete AV block with no ventricular escape mechanism. We postulated that ventricular asystole was initiated by mechanical or autonomic influences on the accessory pathway and sustained by electrophysiologic interactions between the accessory pathway and the junctional escape focus. This is the first case report of a newborn having coexisting congenital AV block and WPW syndrome.

Full Text

Duke Authors

Cited Authors

  • Kanter, RJ; Del Rio, A; Miretti, C; Gonzalez-Zuelgaray, J

Published Date

  • May 1999

Published In

Volume / Issue

  • 10 / 5

Start / End Page

  • 736 - 740

PubMed ID

  • 10355929

International Standard Serial Number (ISSN)

  • 1045-3873

Digital Object Identifier (DOI)

  • 10.1111/j.1540-8167.1999.tb00250.x


  • eng

Conference Location

  • United States