Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report

Naela Ashraf; Rabika Fatima; Mehnaz Atiq; Muneer Amanullah

doi:10.47391/JPMA.6674

Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report

Naela Ashraf, Rabika Fatima, Mehnaz Atiq, Muneer Amanullah

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	1113-1116
Number of pages	4
Journal	Journal of the Pakistan Medical Association
Volume	73
Issue number	5
DOIs	https://doi.org/10.47391/JPMA.6674
Publication status	Published - May 2023
Externally published	Yes

Keywords

Neonatal lupus erythematous
cardiac pacemaker
congenital complete heart block
infant low birth weight
permanent pacemaker implantation (ppm)

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10.47391/JPMA.6674

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title = "Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report",

abstract = "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.",

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T1 - Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block

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AU - Ashraf, Naela

AU - Fatima, Rabika

AU - Atiq, Mehnaz

AU - Amanullah, Muneer

PY - 2023/5

Y1 - 2023/5

N2 - 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.

AB - 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.

KW - Neonatal lupus erythematous

KW - cardiac pacemaker

KW - congenital complete heart block

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KW - permanent pacemaker implantation (ppm)

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Placement of permanent pacemaker in a low-birth-weight infant with congenital heart block: a case report

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