Andersons pediatric cardiology 572
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AnnotatedReferences
JaeggiET,etal.Outcomeofchildrenwithfetal,
neonatalorchildhooddiagnosisofisolated
congenitalatrioventricularblock.Asingle
institution'sexperienceof30years.JAmColl
Cardiol.2002;39(1):130–137.
Aretrospectivereviewof102casesofcongenital
atrioventricularblockatasingleinstitutionto
identifypredictorsofmortality.Of102cases
identified,29werediagnosedinutero(F)at
26.1±5.6weeks’gestation,33asneonates(N;
presentin95%ofFand90%ofN,butonlyin
5%ofCmotherstested(P<.0001).Patients
withcongenitalAVblockhavingF,N,andC
diagnosishadamortalityof43%,6%,and0%,
respectively,inthefirsttwodecadesoflife.
Increasedmortalityriskwasassociatedwitha
fetaldiagnosisofCAVB,fetalhydrops,
endocardialfibroelastosis,anddeliveryat
WeindlingSN,etal.Durationofcomplete
atrioventricularblockaftercongenitalheart
diseasesurgery.AmJCardiol.1998;82(4):525–
527.
Aclassicarticlethatrecommendsallpostoperative
heartblockpacing.Childrenwithcomplete
heartblockfollowingsurgeryforcongenital
heartdiseaseswereprospectivelyfollowedto
assessthetimingforrecoveryofatrioventricular
conduction,andtodetermineiftherewere
clinicalvariablesthatreliablypredictpermanent
heartblock.Recoveryofatrioventricular
conductionoccurredbypostoperativeday9in
97%ofpatientswithtransientheartblock..
KhairyP,etal.PACES/HRSexpertconsensus
statementontherecognitionandmanagementof
arrhythmiasinadultcongenitalheartdisease:
developedinpartnershipbetweenthePediatric
andCongenitalElectrophysiologySociety
(PACES)andtheHeartRhythmSociety(HRS).
HeartRhythm.2014;11(10):e102–e165.
Averycomprehensivereviewworthreadingon
arrhythmiasinadultcongenitalheartdisease.
Thereviewdiscussesbradyarrhythmia,supraandventriculararrhythmias,medical
management,pacemakers,defibrillators,
electrophysiologystudies,andablation
procedures.Algorithmsformanagementandrisk
stratificationarehighlightedinthisarticle..
KleinGJ,etal.VentricularfibrillationintheWolff-
Parkinson-Whitesyndrome.NEnglJMed.
1979;301(20):1080–1085.
AfantasticarticleonthenaturalhistoryofWolffParkinson-Whitesyndromewhereitwasrealized
thatasymptomaticpatientsareatriskforlifethreateningeventssecondarytoventricular
fibrillationafterdegenerationofpreexcited
rapidatrialfibrillation.Theshortest
preexcitationR-Rintervalduringatrial
fibrillationwaslessinthegroupwithventricular
fibrillation(meanshortestR-R,180vs.240ms)
aswastheaverageR-Rinterval.Patientswith
Wolff-Parkinson-Whitesyndromewhoaremost
susceptibletoventricularfibrillationhavea
historyofatrialfibrillationandreciprocating
tachycardia,demonstraterapidconductionover
anaccessorypathwayduringatrialfibrillation,
andhavemultipleaccessorypathways.There
werethreechildreninthisstudywithlifethreateningarrhythmiasandrapidWolffParkinson-Whitesyndrome..
PACES/HRSexpertconsensusstatementonthe
managementoftheasymptomaticyoungpatient
withaWolff-Parkinson-White(WPW,
ventricularpreexcitation)electrocardiographic
pattern:developedinpartnershipbetweenthe
PediatricandCongenitalElectrophysiology
