Heart 1998;80:525-526 ( November )
Case report
1:1 atrioventricular conduction in congenital complete heart
block
Department of Cardiology, Royal Hospital for Sick
Children, Glasgow G3 8SJ, UK
Correspondence to: Dr McLeod.
Accepted for publication 30 December 1997
A female neonate with congenital complete heart block
developed atrioventricular conduction through an accessory pathway. Despite sinus rhythm and an adequate heart rate she developed severe
dilated cardiomyopathy and died at age 14 months. This case illustrates
that underlying heart block can be present in individuals with
asymptomatic Wolff-Parkinson-White syndrome and that the dilated
cardiomyopathy that occasionally accompanies autoimmune congenital
heart block is not primarily caused by bradycardia.
© 1998 by Heart
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