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Acquired complete atrioventricular block that is caused by infectious myocarditis is usually transient and has a favourable outcome. We report the case of a 15-year-old girl who had complete infra-Hisian atrioventricular block due to adeno viral myocarditis and received a permanent pacemaker at the age of 10 months. The pacemaker lost its function at the age of 7 years. However, she experienced a late recurrence of complete atrioventricular block 10 years later. Complete atrioventricular block is rarely recovered if it persisted for 2 weeks. Even in the patients with late recovery, long-term follow-up and pacemaker therapy are still needed.

Citation

Hok-Keong Chang, Jieh-Neng Wang, Jing-Ming Wu. Late recurrence of infra-Hisian complete atrioventricular block. Cardiology in the young. 2012 Apr;22(2):230-1

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PMID: 21892983

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