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Transthoracic Pacing in a Very Low Birth Weight Infant with Congenital Complete Atrioventricular Block
Author(s) -
NÜRNBERG JANHENDRIK,
WENG YUGUO,
OEFF MICHAEL,
LANGE PETER ERNST,
VERSMOLD HANS T.
Publication year - 2000
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2000.tb00863.x
Subject(s) - medicine , atrioventricular block , bradycardia , cardiology , gestational age , heart block , fetus , gestational period , heart rate , pregnancy , electrocardiography , biology , blood pressure , genetics
We report our experience of pacemaker treatment in a premature infant of 830 g with congenital complete atrioventricular block due to maternal Sjogren's Syndrome. The infant was delivered by cesarean section at an estimated gestational age of 26 weeks because of fetal bradycardia, decreasing fetal movements, and hydrops. Immediate postnatal transesophageal ventricular pacing was not successful, whereas transthoracic pacing with self‐adhesive patch electrodes adapted to body size resulted in an effective increase of the infant's heart rate until operative application of temporary epimyocardial pacing wires allowed external stimulation of the heart.