
Complete heart block due to diphtheritic myocarditis in the present era
Author(s) -
Mithun J. Varghese,
Sivasubramanian Ramakrishnan,
Kothari Ss,
Akhil Parashar,
Rajnish Juneja,
Anitá Saxena
Publication year - 2013
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.107231
Subject(s) - medicine , myocarditis , heart block , diphtheria , complication , cardiology , pediatrics , electrocardiography , virology , vaccination
Diphtheria continues to be reported from many parts of the world. Complete heart block is rare but often fatal complication of diphtheric myocarditis. We report six children with diphtheric myocarditis who presented with complete heart block. Three patients survived, one with persistent complete heart block. Aggressive supportive management including transvenous pacing may result in complete recovery in a significant number of children with diphtheric myocarditis.