Heart 1998;80:627-628 ( December )
Case report
Junctional ectopic tachycardia evolving into complete heart block
a Department of Cardiology, Wilhelmina Children's
Hospital, Utrecht, Netherlands, b Department of Cardiology, Academic Hospital
Groningen, Netherlands
Correspondence to: Dr N Sreeram, Department of Cardiology, Wilhelmina Children's Hospital, ABC Straat, 3501 CA Utrecht, Netherlands.
Accepted for publication 16 March 1998
Transition from congenital junctional ectopic
tachycardia to complete AV block was observed in an 8 month old
girl, over a 36 hour period, during initial hospital admission. Two
years later she had evidence of a rapidly increasing left
ventricular end diastolic diameter, associated with lowest heart
rates during sleep of < 30 beats/min. A transvenous permanent
pacemaker was therefore implanted. This finding supports the
idea that a pathological process in the area of the AV junction,
initially presenting as junctional ectopic tachycardia may later extend
to sudden complete atrioventricular block.
© 1998 by Heart
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