PMID- 3626019
OWN - NLM
STAT- MEDLINE
DCOM- 19871007
LR  - 20190824
IS  - 0021-4868 (Print)
IS  - 0021-4868 (Linking)
VI  - 28
IP  - 3
DP  - 1987 May
TI  - Study on congenital complete heart block in children by 24-hour ambulatory 
      electrocardiographic monitoring.
PG  - 323-32
AB  - Ambulatory electrocardiographic monitoring was performed in 18 children with a 
      congenital complete heart block (CCHB). They had no cardiac structural anomalies. 
      These patients could be divided into 3 groups according to the pattern of 
      fluctuations in beat-to-beat ventricular rates. Type 1 patients showed rapid and 
      transient fluctuations and demonstrated a high correlation between atrial and 
      ventricular rates. Type 3 patients showed a constant ventricular rate and little 
      variation through the 24 hour period and there was no appreciable correlation 
      between atrial and ventricular rates. Twelve of 18 patients had additional 
      arrhythmias. A few sporadic ventricular premature contractions (VPCs) were found 
      in 9 patients, and bigeminy of VPCs or ventricular tachycardias were seen in 2 
      patients during exercise. Frequent and sudden prolongation of RR intervals was 
      found during sleep in 3 patients. The longest intervals of ventricular asystoles 
      were 7.2, 3.2 and 3.2 sec, respectively. The mechanism of this phenomenon 
      appeared to be not only an exit block, but also arrest or a lack of automaticity 
      of a subsidiary pacemaker. One of these patients developed frequent Stokes-Adams 
      attacks. Type 3 patients with sudden prolongation of RR intervals and/or frequent 
      ventricular arrhythmias should be under careful observation. Ambulatory 
      electrocardiographic monitoring is recommended for children with CCHB for 
      evaluation of potential risk factors for Stokes-Adams attacks.
FAU - Nagashima, M
AU  - Nagashima M
FAU - Nakashima, T
AU  - Nakashima T
FAU - Asai, T
AU  - Asai T
FAU - Matsushima, M
AU  - Matsushima M
FAU - Ogawa, A
AU  - Ogawa A
FAU - Ohsuga, A
AU  - Ohsuga A
FAU - Kaneko, T
AU  - Kaneko T
FAU - Yazaki, T
AU  - Yazaki T
FAU - Okajima, M
AU  - Okajima M
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Jpn Heart J
JT  - Japanese heart journal
JID - 0401175
SB  - IM
MH  - Adolescent
MH  - Arrhythmias, Cardiac/classification/congenital/diagnosis
MH  - Child
MH  - Child, Preschool
MH  - *Circadian Rhythm
MH  - Electrocardiography/*methods
MH  - Female
MH  - Heart Block/classification/*congenital/diagnosis
MH  - Heart Rate
MH  - Humans
MH  - Infant
MH  - Male
MH  - Monitoring, Physiologic/*methods
MH  - Time Factors
EDAT- 1987/05/01 00:00
MHDA- 1987/05/01 00:01
CRDT- 1987/05/01 00:00
PHST- 1987/05/01 00:00 [pubmed]
PHST- 1987/05/01 00:01 [medline]
PHST- 1987/05/01 00:00 [entrez]
AID - 10.1536/ihj.28.323 [doi]
PST - ppublish
SO  - Jpn Heart J. 1987 May;28(3):323-32. doi: 10.1536/ihj.28.323.