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Review
. 2021 Nov;32(11):3082-3094.
doi: 10.1111/jce.15255. Epub 2021 Sep 30.

Etiology and device therapy in complete atrioventricular block in pediatric and young adult population: Contemporary review and new perspectives

Giacomo M Cioffi  1 , Alessio Gasperetti  2   3   4 , Gregorio Tersalvi  5   6 , Marco Schiavone  2 , Paolo Compagnucci  3 , Fabiola B Sozzi  7 , Michela Casella  8 , Federico Guerra  3 , Antonio Dello Russo  3 , Giovanni Battista Forleo  2
Affiliations
Review

Etiology and device therapy in complete atrioventricular block in pediatric and young adult population: Contemporary review and new perspectives

Giacomo M Cioffi et al. J Cardiovasc Electrophysiol. 2021 Nov.

Abstract

Complete atrioventricular block (CAVB) is a total dissociation between the atrial and ventricular activity, in the absence of atrioventricular conduction. Several diseases may result in CAVB in the pediatric and young-adult population. Permanent right ventricular (RV) pacing is required in permanent CAVB, when the cause is neither transient nor reversible. Continuous RV apical pacing has been associated with unfavorable outcomes in several studies due to the associated ventricular dyssynchrony. This study aims to summarize the current literature regarding CAVB in the pediatric and young adult population and to explore future treatment perspectives.

Keywords: cardiac-resynchronization therapy; complete AV block; pacemaker; third-degree AV block; young adults.

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