n South African Journal of Child Health - Acute fulminant myocarditis complicated by complete atrioventricular block with favourable outcome in a resource-limited setting : case report
|Article Title||Acute fulminant myocarditis complicated by complete atrioventricular block with favourable outcome in a resource-limited setting : case report|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Journal of Child Health|
|Affiliations||1 Aga Khan University, Pakistan, 2 Aga Khan University, Pakistan and 3 Aga Khan University, Pakistan|
|Publication Date||Jan 2015|
|Pages||30 - 32|
Complete heart block in paediatric acute fulminant myocarditis (AFM) is rare and carries a grave prognosis. Aggressive haemodynamic support, especially mechanical support, i.e. with an extracorporeal membrane oxygenator during the initial presentation, improves the outcome in such patients. Unavailability of mechanical support in developing countries warrants aggressive rhythm management to achieve haemodynamic stability. We report a case of a 5-month-old who presented with AFM complicated with complete heart block. Quick recognition, aggressive cardiopulmonary management and transcatheter placement of a temporary pacemaker as soon as possible resulted in complete recovery in this patient. Aggressive management with rhythm control can lead to a favourable outcome in paediatric patients with AFM complicated by complete heart block, even in a resource-limited set-up.
Article metrics loading...