22. Harrison TR: Harrison's Principles of Internal Medicine, ed 8, edited by Thorn GS. New York, McGraw-Hill, 1977, p 429 23. Hogg GR: Congenital acute lupus erythematosis associated with subendocardial fibroelastosis. Am J Clin Pathol 28: 648, 1957 24. Brigden W, Bywaters EGL, Lassof MH, Ross IP: The heart in systemic lupus erythematosus. Br Heart J 22: 1, 1960 25. Griffith GC, Vural IL: Acute...

T HE CLINICAL and hemodynamic findings in patients with complete heart block have been reported by many authors.1-14 There is general agreement that irrespective of the etiology of the block, cardiac enlargement and increased stroke volume are the compensatory mechanisms for the slow rate. In a few studies ventricular rate and other hemodynamic changes have been followed during exercise.1-3' 13...

Permanent complete heart block developed in a five year old child during balloon dilatation for pulmonary valve stenosis. Damage to the atrioventricular node by pressure from the inflated balloon may have caused the conduction defect.

OBJECTIVE To establish identifiable prenatal factors in fetal heart block which might predict death in utero, the need for intervention, or the probability of pacemaker requirement. SETTING Tertiary referral unit for fetal echocardiography. SUBJECTS 36 fetuses with congenital complete heart block and structurally normal hearts identified between 1980 and 1993. METHODS Maternal anti-Ro ant...

A case of a 71-year-old male with congenital complete heart block is discussed. Patient remained asymptomatic with stable electrocardiograms.

Six children, aged between 3 and 19 years, with congenital complete heart block without associated cardiac disease were studied by His bundle electrography. All were symptomatic with resting ventricular rates over 40 beats/min, and electrocardiograms that showed a normal axis and QRS complex. His bundle to ventricular activation was within the normal range in all and the block was proximal to t...

Reliable diagnosis of congenital heart defects and arrhythmias in utero has been possible since the introduction of fetal echocardiography. The nation-wide prenatal ultrasound screening program in the Czech Republic enabled detection of cardiac abnormalities in 1/3 of patients born with any congenital heart disease and up to 83 % of those with critical forms. Prenatal frequency of individual he...

BACKGROUND Complete heart block in pregnancy has serious implications particularly during the period of delivery. This is more so if the delivery is an operative one as the presence of heart block may produce haemodynamic instability in the intra operative period. We report a unique case of a pregnant mother with complete heart block undergoing hysterostomy, complicated by placenta accreta and ...