Left Bundle Branch Pacing in a Child Who Survived Cardiac Arrest with Congenital Complete Heart Block and Recurrent Torsades de Pointes

Fera Hidayati, Hana Soraya, Dicky armein Hanafy

Research output: Contribution to journalArticlepeer-review

Abstract

A 2-year-old girl was referred to the Harapan Kita National Heart Center due to the return of spontaneous circulation after cardiac arrest, bradyarrhythmia and repeated seizures with loss of consciousness. She had been treated with an epilepsy drug for 1 year. Electrocardiography during one epilepsy episode showed complete heart block with junctional escape rhythm and QT interval prolongation, which then progressed to torsades de pointes. Echocardiography revealed left atrium and left ventricle dilatation with reduced ejection fraction. Left bundle branch permanent pacemaker was successfully implanted through left subclavian vein access. During the 3-week follow-up, there were no recurrent seizures and echocardiography revealed improvement of left ventricle ejection fraction.

Original languageEnglish
JournalJournal of Asian Pacific Society of Cardiology
Volume2
DOIs
Publication statusPublished - 9 Jun 2023

Keywords

  • Left bundle branch pacing
  • congenital complete heart block
  • cardiac arrest
  • children

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