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COMPLETE HEART BLOCK IN A YOUNG CHILD PRESUMABLY DUE TO MYCOPLASMA PNEUMONIAE MYOCARDITIS
Author(s) -
FRIEDLI B.,
RENEVE F.,
ROUGE J. C.
Publication year - 1977
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1977.tb07912.x
Subject(s) - medicine , mycoplasma pneumoniae , myocarditis , heart block , atrioventricular block , cardiology , pneumonia , electrocardiography
. The case is described of an 18 months old boy with sudden onset complete heart block, heralded by Stokes‐Adams attacks. General signs of viral illness preceded and accompanied the syndrome; this, along with angiographic evidence of a poorly contracting left ventricle, led to the diagnosis of non bacterial myocarditis. Serologic tests disclosed a significant rise in antibodies against mycoplasma pneumoniae (1/16 to 1/128). The His‐bundle electrogram showed a block above the His‐bundle, but fairly widespread damage to the conduction system is suspected. The complete heart block proved to be permanent and a fixed rate pacemaker had to be implanted.