Congenital Heart Block (CHB) is the most serious complication of neonatal lupus erythematosus. Transplasental transfer of maternal anti SSA/Ro or antiSSB/La antibodies around 12th week of gestation is associated with development of CHB. This may lead to inflammation, fibrosis and scarring of fetal conduction system in the early second trimester. Different degrees of atrioventricular (AV) block ...

A family of 28 individuals spanning four generations was investigated because of a finding of complete heart block in five members and the existence of a low degree of atrioventricular (A-V) heart block in a sixth member. The disorder was characterized by 1) adult onset in all, 2) complete A-V heart block in five and first degree A-V heart block in one, 3) sinus bradycardia in three, 4) atrial ...

A 56-year-old man of Turkish descent presented with severe bradycardia (37 bpm) and hypotension (65/ 35 mm Hg) in the emergency room. A liver transplantation had been performed 8 months before because of cirrhosis due to chronic hepatitis B. The patient was on a permanent regimen of tacrolimus, mycophenolate mofetil, lamivudine, and adefovir dipivoxil. On the day of admission, he had eaten seve...

As part of routine prenatal care, the obstetrician of a 25-year-old gravida 1, para 0 woman performed fetal heart-rate monitoring at 22 weeks gestational age. The fetal heart rate was 90 bpm, below the expected range of 120 –160 bpm. This finding prompted a subsequent fetal ultrasound and echocardiogram. The ultrasound exam showed no evidence of hydrops. Cardiac anatomy was normal, with 4 appro...

Few of the reported cases of congenital complete heart block have been over twenty years of age. It seems, therefore, worth reporting seven cases who are in good health at various ages between 22 and 42 years. This aetiological factor should, therefore, be thought of in middle-aged and even in elderly patients with complete heart block of unknown oetiology. Campbell and Suzman (1934), reporting...

Trauma to the chest may result in rupture of the interventricular septum (Cary, Hurst, and Arentzen, 1958). Disturbances of conduction, including complete heart block, may follow (Dolara, 1964), or they may arise in the presence of an intact septum (Levine, Roberts, and Morrow, 1962). In the case to be reported, non-penetrating trauma produced structural cardiac damage, associated with the deve...

seven hours twenty minutes before delivery, the foetal heart sounds became audible. The very slow rate was noted. It was regular, and the provisional diagnosis of complete heart block was suggested. At delivery the condition of the infant was good: there was no cyanosis. Auscultation of the heart disclosed no murmurs. The ventricular rate fluctuated from timne to timie and varied between sixty ...