Role of cardiac pacing in congenital complete heart block

Stephanie Frances Chandler, Francis Fynn-Thompson, Douglas Y. Mah*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations


Introduction: Congenital complete heart block affects 1/15,000 live-born infants, predominantly due to atrioventricular nodal injury from maternal antibodies of mothers with systemic lupus erythermatosus or Sjogren’s syndrome. The majority of these children will need a pacemaker implanted prior to becoming young adults. This article will review the various patient and technical factors that influence the type of pacemaker implanted, and the current literature on optimal pacing practices. Areas covered: A literature search was performed using PubMed, Embase and Web of Science. Data regarding epicardial versus transvenous implants, pacing-induced ventricular dysfunction, alternative pacing strategies (including biventricular pacing, left ventricular pacing, and His bundle pacing), and complications with pacemakers in the pediatric population were reviewed. Expert commentary: There are numerous pacing strategies available to children with congenital complete heart block. The risks and benefits of the initial implant should be weighed against the long-term issues inherent with a life-time of pacing.

Original languageEnglish (US)
Pages (from-to)853-861
Number of pages9
JournalExpert review of cardiovascular therapy
Issue number11
StatePublished - Nov 2 2017


  • Pediatrics
  • complications
  • electrophysiology
  • heart block
  • pacemaker

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine


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