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European Heart Journal 1981 2(4):281-288;
Copyright © 1981 by the European Society of Cardiology.
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© 1981, by The European Society Of Cardiology

Congenital complete heart block in adolescence and adult life. A follow-up study

EVA B. ESSCHER

Department of Paediatric Cardiology Paediatric Clinic, University Hospital Uppsala, Sweden

Received 17 September 1980; revised 23 February 1981; .

Abstract

The clinical course in 70 adult patients with isolated congenital complete heart block is described. The mean age at follow-up was 31 years. Twenty-seven patients were diagnosed before one year of age. Seventy per cent of patients below 30 years of age and 29%ents above 30 years were symptom free. One group of 48 patients was prospectively followed for 12 years. During this time nine were paced and two died. No reliable indicators of bad prognosis were found. Aeliologically, congenital complete heart block is probably a mixed group and the difficulty of distinguishing congenital from acquired block is discussed.

Key Words: Congenital heart block • risk criteria • long-term follow-up


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