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Potential additional indicators for pacemaker requirement in isolated congenital atrioventricular block.

Publication ,  Journal Article
Breur, JMPJ; Udink ten Cate, FEA; Kapusta, L; Boramanand, N; Cohen, MI; Crosson, JE; Lubbers, LJ; Friedman, AH; Brenner, JI; Vetter, VL; Meijboom, EJ
Published in: Pediatr Cardiol
2006

Low heart rate is the predominantly used indication for pacemaker intervention in patients with isolated congenital atrioventricular block (CAVB). The aim of this study was to compare the difference in heart rates recorded with ECG and Holter monitoring between paced (PM) and nonpaced (NPM) patients with isolated CAVB before pacemaker implantation to identify additional predictors for future PM need. Retrospective evaluation of atrial and ventricular rates (electrocardiography) and minimal and maximal (Holter) heart rates in 129 CAVB patients prior to PM implantation (n = 93) was performed, and results are expressed in V adjusted for age and sex. The average V score for the atrial rate was 0.51 (n = 50) in the PM group and 0.60 (n = 22) in the NPM group (not-significant). The average z score for the ventricular (average) rate was -0.91 (n = 83) in the PM group and -0.93 (n = 33) in the NPM group (not-significant). Minimal heart rate was -0.94 (n = 61) in the PM group and -0.86 (n = 25) in the NPM group (not significant). Maximal heart rate was -0.96 (n = 61) in the PM group and -0.95 (n = 26) in the NPM group (not significant). Initial recordings of the average heart rate and the minimal and maximal heart rate recorded during Holter monitoring do not seem to predict future pacemaker need in patients with CAVB. Studies with exercise stress tests are needed to confirm these findings.

Duke Scholars

Published In

Pediatr Cardiol

DOI

ISSN

0172-0643

Publication Date

2006

Volume

27

Issue

5

Start / End Page

564 / 568

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Severity of Illness Index
  • Retrospective Studies
  • Pacemaker, Artificial
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Heart Rate
  • Heart Block
 

Citation

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Breur, J. M. P. J., Udink ten Cate, F. E. A., Kapusta, L., Boramanand, N., Cohen, M. I., Crosson, J. E., … Meijboom, E. J. (2006). Potential additional indicators for pacemaker requirement in isolated congenital atrioventricular block. Pediatr Cardiol, 27(5), 564–568. https://doi.org/10.1007/s00246-004-0629-1
Breur, J. M. P. J., F. E. A. Udink ten Cate, L. Kapusta, N. Boramanand, M. I. Cohen, J. E. Crosson, L. J. Lubbers, et al. “Potential additional indicators for pacemaker requirement in isolated congenital atrioventricular block.Pediatr Cardiol 27, no. 5 (2006): 564–68. https://doi.org/10.1007/s00246-004-0629-1.
Breur JMPJ, Udink ten Cate FEA, Kapusta L, Boramanand N, Cohen MI, Crosson JE, et al. Potential additional indicators for pacemaker requirement in isolated congenital atrioventricular block. Pediatr Cardiol. 2006;27(5):564–8.
Breur, J. M. P. J., et al. “Potential additional indicators for pacemaker requirement in isolated congenital atrioventricular block.Pediatr Cardiol, vol. 27, no. 5, 2006, pp. 564–68. Pubmed, doi:10.1007/s00246-004-0629-1.
Breur JMPJ, Udink ten Cate FEA, Kapusta L, Boramanand N, Cohen MI, Crosson JE, Lubbers LJ, Friedman AH, Brenner JI, Vetter VL, Meijboom EJ. Potential additional indicators for pacemaker requirement in isolated congenital atrioventricular block. Pediatr Cardiol. 2006;27(5):564–568.
Journal cover image

Published In

Pediatr Cardiol

DOI

ISSN

0172-0643

Publication Date

2006

Volume

27

Issue

5

Start / End Page

564 / 568

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Severity of Illness Index
  • Retrospective Studies
  • Pacemaker, Artificial
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Heart Rate
  • Heart Block