Open AccessCerebral infarction in a patient with congenital complete heart block
Author(s) -
Hayabuchi Yasunobu,
Matsuoka Suguru,
Nii Masaki,
Suzuya Hiroko,
Kuroda Yasuhiro
Publication year - 1998
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960210416
Subject(s) - medicine , cardiology , bradycardia , heart block , cerebral infarction , cerebral embolism , stroke (engine) , embolism , regurgitation (circulation) , thrombus , electrocardiography , heart rate , ischemia , blood pressure , mechanical engineering , engineering
Stokes‐Adams attacks are fairly common in children with congenital complete heart block, but the occurrence of cerebral infarction is quite unusual. We present the case of a 13‐year‐old boy with congenital heart block and an embolic stroke involving the cerebral artery. Echocardiography revealed no valvular regurgitation, hypokinetic segments, mural thrombus, or myxoma. Electrocardiographic monitoring demonstrated good response of ventricular rate to exercise and no episodes of atrial or ventricular dysrhythmia. It is assumed that embolism occurred due to bradycardia.