Heart Block in Unpalliated Complex Adult Congenital Heart Disease
Complete heart block is a common complication for adults with congenital heart disease (CHD). Epicardial pacing is preferred in patients with septal shunting due to risk of thromboembolism. Anatomic changes in complex CHD may preclude surgical epicardial lead placement. Thromboembolism risk reductio...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-02-01
|
| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084920313267 |
| id |
doaj-0bba2def73b14c5fa4a8fb6ad8565da2 |
|---|---|
| record_format |
Article |
| spelling |
doaj-0bba2def73b14c5fa4a8fb6ad8565da22021-06-07T07:05:40ZengElsevierJACC: Case Reports2666-08492021-02-0132192193Heart Block in Unpalliated Complex Adult Congenital Heart DiseaseJoshua R. Hirsch, MD0Christopher R. Broda, MD1Peter R. Ermis, MD2Wilson W. Lam, MD3Angeline D. Opina, MD4Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA; Address for correspondence: Dr. Joshua R. Hirsch, Department of Internal Medicine, Baylor College of Medicine, 7200 Cambridge, BCM 903, Suite A10.202, Houston, Texas 77030, USA.Department of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USADepartment of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USADepartment of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA; Department of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA; Texas Heart Institute, Baylor St. Luke's Medical Center, Houston, Texas, USADepartment of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USAComplete heart block is a common complication for adults with congenital heart disease (CHD). Epicardial pacing is preferred in patients with septal shunting due to risk of thromboembolism. Anatomic changes in complex CHD may preclude surgical epicardial lead placement. Thromboembolism risk reduction in such patients requiring endocardial pacing remains questionable. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084920313267bradycardiacardiac pacemakercyanotic heart diseasecomputed tomographystrokeventricular septal defect |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Joshua R. Hirsch, MD Christopher R. Broda, MD Peter R. Ermis, MD Wilson W. Lam, MD Angeline D. Opina, MD |
| spellingShingle |
Joshua R. Hirsch, MD Christopher R. Broda, MD Peter R. Ermis, MD Wilson W. Lam, MD Angeline D. Opina, MD Heart Block in Unpalliated Complex Adult Congenital Heart Disease JACC: Case Reports bradycardia cardiac pacemaker cyanotic heart disease computed tomography stroke ventricular septal defect |
| author_facet |
Joshua R. Hirsch, MD Christopher R. Broda, MD Peter R. Ermis, MD Wilson W. Lam, MD Angeline D. Opina, MD |
| author_sort |
Joshua R. Hirsch, MD |
| title |
Heart Block in Unpalliated Complex Adult Congenital Heart Disease |
| title_short |
Heart Block in Unpalliated Complex Adult Congenital Heart Disease |
| title_full |
Heart Block in Unpalliated Complex Adult Congenital Heart Disease |
| title_fullStr |
Heart Block in Unpalliated Complex Adult Congenital Heart Disease |
| title_full_unstemmed |
Heart Block in Unpalliated Complex Adult Congenital Heart Disease |
| title_sort |
heart block in unpalliated complex adult congenital heart disease |
| publisher |
Elsevier |
| series |
JACC: Case Reports |
| issn |
2666-0849 |
| publishDate |
2021-02-01 |
| description |
Complete heart block is a common complication for adults with congenital heart disease (CHD). Epicardial pacing is preferred in patients with septal shunting due to risk of thromboembolism. Anatomic changes in complex CHD may preclude surgical epicardial lead placement. Thromboembolism risk reduction in such patients requiring endocardial pacing remains questionable. (Level of Difficulty: Advanced.) |
| topic |
bradycardia cardiac pacemaker cyanotic heart disease computed tomography stroke ventricular septal defect |
| url |
http://www.sciencedirect.com/science/article/pii/S2666084920313267 |
| work_keys_str_mv |
AT joshuarhirschmd heartblockinunpalliatedcomplexadultcongenitalheartdisease AT christopherrbrodamd heartblockinunpalliatedcomplexadultcongenitalheartdisease AT peterrermismd heartblockinunpalliatedcomplexadultcongenitalheartdisease AT wilsonwlammd heartblockinunpalliatedcomplexadultcongenitalheartdisease AT angelinedopinamd heartblockinunpalliatedcomplexadultcongenitalheartdisease |
| _version_ |
1721391558186500096 |