Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-04T21:20:16.674Z Has data issue: false hasContentIssue false
  • English
  • Français

Symptomatic atrial bigeminy masquerading as congenital complete heart block

Part of: Electrophysiology

Published online by Cambridge University Press:  21 September 2021

Ernesto Mejia Open the ORCID record for Ernesto Mejia [Opens in a new window] ,
Walter J. Hoyt  and
Christopher S. Snyder
Ernesto Mejia
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, UH Rainbow Babies and Children’s Hospital, Cleveland, OH, USA Division of Pediatric Cardiology, Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA
Walter J. Hoyt
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, UH Rainbow Babies and Children’s Hospital, Cleveland, OH, USA Division of Pediatric Cardiology, Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA
Christopher S. Snyder*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, UH Rainbow Babies and Children’s Hospital, Cleveland, OH, USA Division of Pediatric Cardiology, Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA
*
Author for correspondence: Christopher S. Snyder, MD, Professor of Pediatrics, 11100 Euclid Ave, Suite 380, Cleveland, OH 44106, USA. Tel: +1 216 844 8529; Fax: +1 216 844 5478. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Newborn male with symptomatic bradycardia initially diagnosed with complete atrioventricular block. Isoproterenol drip was initiated, and the patient was scheduled for pacemaker implantation. During the hospital course, repeat electrocardiogram and Holter monitor revealed evidence of near continuous blocked atrial bigeminy with occasional aberrantly conducted premature atrial contractions. Flecainide was started, resulting in normal sinus rhythm, and the pacemaker implantation was cancelled.

Keywords

Atrial bigeminycomplete heart blockbradycardiapremature atrial contractions
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 5 , May 2022 , pp. 830 - 832
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kugler, JD. Sinus node dysfunction. In: Gillette, PC, Garson, AG Jr (eds). Pediatric Arrhythmias: Electrophysiology and Pacing. WB Saunders, Philadelphia, 1990, p. 250.Google Scholar
Richards, JM, Alexander, JR, Shinebourne, EA, de Swiet, M, Wilson, AJ, Southall, DP. Sequential 22-hour profiles of breathing patterns and heart rate in 110 full-term infants during their first 6 months of life. Pediatrics 1984; 74: 763.CrossRefGoogle ScholarPubMed
Rein, AJJT, Simcha, A, Ludomirsky, A, Appelbaum, A, Uretzky, G, Tamir, I. Symptomatic sinus bradycardia in infants with structurally normal hearts. J Pediatr 1985; 107: 724–727.CrossRefGoogle ScholarPubMed
Henderson-Smart, DJ, Butcher-Puech, MC, Edwards, DA. Incidence and mechanism of bradycardia during apnoea in preterm infants. Arch Dis Child 1986; 61: 227–232. DOI 10.1136/adc.61.3.227.CrossRefGoogle ScholarPubMed
Simonsen, KA, Anderson-Berry, AL, Delair, SF, Davies, HD. Early-onset neonatal sepsis. Clin Microbiol Rev 2014; 27: 21–47. DOI 10.1128/CMR.00031-13.CrossRefGoogle ScholarPubMed
Friedman, D, Duncanson, LJ, Glickstein, J, Buyon, J. A review of congenital heart block. Images Paediatr Cardiol 2003; 5: 36–48.Google ScholarPubMed
Kertesz, NJ, Fenrich, AL, Friedman, RA. Congenital complete atrioventricular block. Tex Heart I J 1997; 24: 301–307.Google ScholarPubMed
Jayaprasad, N, Johnson, F, Venugopal, K. Congenital complete heart block and maternal connective tissue disease. Int J Cardiol 2006; 112: 153–158. DOI 10.1016/j.ijcard.2005.11.115.CrossRefGoogle ScholarPubMed
Alper, AT, Gungor, B, Turkkan, C, Tekkesin, AI. Symptomatic bradycardia caused by premature atrial contractions originating from right atrial appendage. Indian Pacing Electrophysiol J 2013; 13: 114–117.CrossRefGoogle ScholarPubMed
Gaudio, C, Di Michele, S, Ferri, FM, Mirabelli, F, Franchitto, S, Alessandri, N. A case of non-conducted atrial bigeminy simulating a second- degree atrioventricular block. A holter ECG diagnosis. Eur Rev Med Pharmacol Sci 2004; 8: 169.Google ScholarPubMed