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Acute nonspecific carditis with advanced heart block in Malaysians

Chin K, Singham KT, Anuar M

Aust N Z J Med, 1983 Aug;13(4):374-5.

Acute nonspecific carditis with advanced heart block is rare. We observed nine cases with complete heart block and one with Mobitz type II block over an eight and a half year period. Temporary cardiac pacing was instituted in all while permanent pacing was required in six patients. No death was recorded.

Matched MeSH terms: Heart Block/therapy

Temporary cardiac pacing in the coronary care unit

Ng WH, Ahmad Z, Ong S

Med J Malaysia, 1979 Mar;33(3):259-63.

PMID: 522731

Matched MeSH terms: Heart Block/therapy*

Irreversible delayed complete heart block secondary to jailed first septal perforator following PCI of the left anterior descending coronary artery

Sadiq MA, Azman W, Abidin IZ

J Invasive Cardiol, 2012 Jan;24(1):E13-5.

PMID: 22210591

Permanent complete heart block (CHB) secondary to the loss of first septal perforator after percutaneous coronary intervention (PCI) of the left descending artery (LAD) is an extremely rare complication. We describe a case report where a patient underwent PCI of proximal LAD, complicated by loss of first septal perforator, septal infarction, and bifasicular block, which progressed to symptomatic delayed CHB. One week later, the patient required implantation of a permanent pacemaker following failure to wean off the transvenous temporary pacing maker.

Matched MeSH terms: Heart Block/therapy

Fulltext Indications of temporary transvenous pacing

Chin K, Singham KT, Masduki A

Med J Malaysia, 1984 Jun;39(2):139-42.

PMID: 6513853

A retrospective study of the indications for temporary transvenous pacing in the University Hospital, Kuala Lumpur, from 1971 to 1979 is reviewed. There were 111 patients. The main indications for temporary transvenous pacing were, namely,complete heart block (57%), sick sinus syndrome (24%), Mobitz type 11 block (5%) and bifascicularblock (3%).

Matched MeSH terms: Heart Block/therapy*

Fulltext Complete heart block complicating acute myocardial infarction: a six-year review

Chin K, Yusof K

Med J Malaysia, 1987 Jun;42(2):93-6.

PMID: 3503197

The clinical course of 68 patients who had temporary transvenous pacing for complete heart block in acute myocardial infarction is reviewed. There were 59 male and 9 female patients, of which 32 were Indians, 20 were Malays and 16 Chinese. 48 patients had inferior infarct, 16 patients developed anterior infarct and 4 patients presented with combined anteriorinferior infarction. The overall mortality for complete heart block in this study is 44%. The mortality pattern is 25% for inferior infarct; 87% for anterior infarct and 100% for combined anterior and inferior infarct.

Matched MeSH terms: Heart Block/therapy

Posterior Spinal Fusion in a Scoliotic Patient With Congenital Heart Block Treated With Pacemaker: An Intraoperative Technical Difficulty

Wong TS, Abu Bakar J, Chee KH, Hasan MS, Chung WH, Chiu CK, et al.

Spine (Phila Pa 1976), 2019 02 15;44(4):E252-E257.

PMID: 30086081 DOI: 10.1097/BRS.0000000000002828

STUDY DESIGN: Case report.

OBJECTIVE: To describe the technical difficulties on performing posterior spinal fusion (PSF) on a pacemaker-dependent patient with complete congenital heart block and right thoracic scoliosis.

SUMMARY OF BACKGROUND DATA: Congenital complete heart block requires pacemaker implantation at birth through thoracotomy, which can result in scoliosis. Corrective surgery in this patient was challenging. Height gain after corrective surgery may potentially cause lead dislodgement. The usage of monopolar electrocautery may interfere with the function of the implanted cardiac device.

METHODS: A 17-year-old boy was referred to our institution for the treatment of right thoracic scoliosis of 70°. He had underlying complete congenital heart block secondary to maternal systemic lupus erythematosus. Pacemaker was implanted through thoracotomy since birth and later changed for four times. PSF was performed by two attending surgeons with a temporary pacing inserted before the surgery. The monopolar electrocautery device was used throughout the surgery.

RESULTS: The PSF was successfully performed without any technical issues and complications. Postoperatively, his permanent pacemaker was functioning normally. Three days later, he was recovering well and was discharged home from hospital.

CONCLUSION: This case indicates that PSF can be performed successfully with thoughtful anticipation of technical difficulties on a pacemaker-dependent patient with underlying congenital heart block.

LEVEL OF EVIDENCE: 5.

Matched MeSH terms: Heart Block/therapy

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