Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report
One of the rare diseases with a high mortality rate in infants is congenital heart block (CHB) with neonatal lupus erythematosus (NLE) as the most common cause. A permanent pacemaker (PPM) is indicated for symptomatic bradycardia. The choice of PPM in the paediatric population is different from tha...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2023-04-01
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| Series: | Journal of the Pakistan Medical Association |
| Subjects: | |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/6674 |
| _version_ | 1797821046586343424 |
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| author | Naela Ashraf Rabika Fatima Mehnaz Atiq Muneer Amanullah |
| author_facet | Naela Ashraf Rabika Fatima Mehnaz Atiq Muneer Amanullah |
| author_sort | Naela Ashraf |
| collection | DOAJ |
| description |
One of the rare diseases with a high mortality rate in infants is congenital heart block (CHB) with neonatal lupus erythematosus (NLE) as the most common cause. A permanent pacemaker (PPM) is indicated for symptomatic bradycardia. The choice of PPM in the paediatric population is different from that in the adult population because of several reasons like small size, account of somatic growth, and difference in physiological changes. Here, we present a case in which a 2.6 kg and 45 days old baby with CHB secondary to NLE was successfully treated with a single-chambered adult-sized PPM with epicardial lead. According to our knowledge, this is the smallest baby in Pakistan in which PPM has been implanted.
Keywords: Neonatal lupus erythematous, infant low birth weight, cardiac pacemaker, permanent pacemaker implantation (ppm), congenital complete heart block.
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| first_indexed | 2024-03-13T09:46:59Z |
| format | Article |
| id | doaj.art-e22d2d9fa5dc460b87291474234a0c0f |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:46:59Z |
| publishDate | 2023-04-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-e22d2d9fa5dc460b87291474234a0c0f2023-05-25T04:20:16ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-04-01730510.47391/JPMA.6674Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case reportNaela Ashraf0Rabika Fatima1Mehnaz Atiq2Muneer Amanullah3Department of Cardiac Surgery, Liaquat National Hospital, Karachi, PakistanDepartment of Cardiac Surgery, Liaquat National Hospital, Karachi, PakistanDepartment of Paediatric Cardiology, Liaquat National Hospital, Karachi, PakistanDepartment of Cardiac Surgery, Liaquat National Hospital, Karachi, Pakistan One of the rare diseases with a high mortality rate in infants is congenital heart block (CHB) with neonatal lupus erythematosus (NLE) as the most common cause. A permanent pacemaker (PPM) is indicated for symptomatic bradycardia. The choice of PPM in the paediatric population is different from that in the adult population because of several reasons like small size, account of somatic growth, and difference in physiological changes. Here, we present a case in which a 2.6 kg and 45 days old baby with CHB secondary to NLE was successfully treated with a single-chambered adult-sized PPM with epicardial lead. According to our knowledge, this is the smallest baby in Pakistan in which PPM has been implanted. Keywords: Neonatal lupus erythematous, infant low birth weight, cardiac pacemaker, permanent pacemaker implantation (ppm), congenital complete heart block. https://www.ojs.jpma.org.pk/index.php/public_html/article/view/6674Neonatal lupus erythematousinfant low birth weightcardiac pacemaker, congenital complete heart block.permanent pacemaker implantation (ppm) |
| spellingShingle | Naela Ashraf Rabika Fatima Mehnaz Atiq Muneer Amanullah Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report Journal of the Pakistan Medical Association Neonatal lupus erythematous infant low birth weight cardiac pacemaker, congenital complete heart block. permanent pacemaker implantation (ppm) |
| title | Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report |
| title_full | Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report |
| title_fullStr | Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report |
| title_full_unstemmed | Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report |
| title_short | Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report |
| title_sort | placement of permanent pacemaker in a low birth weight infant with congenital heart block a case report |
| topic | Neonatal lupus erythematous infant low birth weight cardiac pacemaker, congenital complete heart block. permanent pacemaker implantation (ppm) |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/6674 |
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