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  • Complete transitory atrioventricular block with Morgagni — Adams — Stokes syndrome in the child after aortic valve replacement

    Редакция | 2014, Clinical case, Practical medicine 06 (14) Cardiology | 15 сентября, 2014

    D.R. SABIROVA1, V.T. SAIDOVA2, L.M. MIROLYUBOV3

    1Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation 420012

    2Children`s Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, 140 Orenburgskiy Trakt, Kazan, Russian Federation 420138

    3Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation 420012

    Sabirova D.R. — Cand. Med. Sc., Assistant Lecturer of the Department of Pediatrics with Policlinic Podiatry course, tel +7-987-290-99-81, e-mail: dinasabirova@mail.ru1

    Saidova V.T. — doctor of Ultrasound Investigation Department, tel. +7-919-685-66-84, e-mail: saidovavenera@gmail.com2

    Mirolyubov L.M. — D. Med. Sc., Professor, Head of the Department of Children’s Surgery with post-diploma education course, tel. +7-987-297-90-62, e-mail: mirolubov@mail.ru3

    Diagnostics and treatment of life-threatening arrhythmia in children after the surgical correction of the congenital heart defect (CHD) is one of the acute problems of children’s cardiology. The article describes the clinical pattern, diagnistics and therapy of the Complete transitory atrioventricular block in a patient after surgical operation on the open heat. The prolonged Morgagni — Adams — Stokes attack, a grave complication of the complete transitory block, is one of the causes of sudden death. Occurrence of even a singular syncope in patients after CHD surgery requires, first of all, to exclude the arrhythmogenic nature of syncope states in order to implement the due and adequate therapy, including implantation of anti-arrhythmic devices

    Key words: children, congenital heart disease, complete atrioventricular block, Morgagni — Adams — Stokes attack, pacemaker.

     

     

    REFERENCES

    1. Kertesz N.J., Friedman R.A., Fenrich A.L. et al. The incidence of perioperative arrhythmias. Cardiac arrhythmias after surgery for congenital heart disease. Arnold, 2001. P. 50-63.

    2. Weindling S.N., Saul J.P., Gamble W.J., Mayer J.E., Wessel D, Walsh E.P. Duration of complete atrioventricular block after congenital heart disease surgery. Am. J. Cardiol., 1998, vol. 82 (4), pp. 525-527.

    3. Bokeriya O.L. Pre-and postoperative arrhythmias in children: causes, treatment approaches. Annaly aritmologii, 2005, no. 1, pp. 25-35 (in Russ.).

    4. Bokeriya O.L. Current approaches to the treatment of acute evolved arrhythmias in children. Detskie bolezni serdtsa i sosudov, 2004, no. 1, pp. 5-13 (in Russ.).

    5. Kushakovskiy M.S. Aritmii serdtsa: Rukovodstvo dlya vrachey [Cardiac arrhythmias: a guide for physicians]. Saint Petersburg: Gippokrat, 1992. 544 p.

    6. Shkol’nikova M.A. Zhizneugrozhayushchie aritmii u detey [Life-threatening arrhythmias in children]. Moscow, 1999. 230 p.

    Метки: Children, complete atrioventricular block, congenital heart disease, D.R. SABIROVA, L.M. MIROLYUBOV, Morgagni — Adams — Stokes attack, pacemaker, Practical medicine 06 (14) Cardiology, V.T. SAIDOVA

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