Cardiac manifestations of neonatal lupus: a review of autoantibody-associated congenital heart block and its impact in an adult population
- PMID: 22183063
- PMCID: PMC3275696
- DOI: 10.1097/CRD.0b013e31823c808b
Cardiac manifestations of neonatal lupus: a review of autoantibody-associated congenital heart block and its impact in an adult population
Abstract
Within the last decade the prevalence of adult patients living with congenital heart disease equals that seen in children. This expanding population poses a challenge to clinical cardiologists who will be caring for patients with the clinical manifestations of this condition. Neonatal lupus is a model of passively acquired autoimmunity and is responsible for the majority of clinical cases of congenital heart block (CHB). This review will focus on the presentation, pathophysiology, and the long-term follow-up of CHB associated with neonatal lupus, and discuss important diagnostic tests, familial implications, and pacemaker issues associated with the care of an adult with CHB.
References
-
- Marelli AJ, Mackie AS, Ionescu-Ittu R, et al. Congenital heart disease in the general population: changing prevalence and age distribution. Circulation. 2007;115:163–172. - PubMed
-
- Navaravong L, Cui J, Stoenescu M. A childhood illness…in an adult. Am J Med. 2010;123:907–909. - PubMed
-
- Dolara A, Cammelli D, Chiodi L, Favilli S. Acute cardiac failure following pacing in an adult patient with congenital complete heart block. J Cardiovasc Med. 2008;9:301–303. - PubMed
-
- Issa ZF, Miller JM, Zipes DP. Atrioventricular conduction abnormalities. In: Issa ZF, Miller JM, Zipes DP, editors. Clinical Arrhythmology and Electrophysiology. 1. Philadelphia: Saunders Elsevier; 2009. pp. 127–142.
-
- Balmer C, Fasnacht M, Rahn M, et al. Long-term follow up of children with congenital complete atrioventricular block and the impact of pacemaker therapy. Europace. 2002;4:345–349. - PubMed
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