Quando il blocco atrioventricolare è idiopatico
Abstract
The detection of a heart murmur in paediatric patients may mask silent arrhythmias with potential hemodynamic consequences. The paper reports the case of an otherwise asymptomatic 2.5-year-old boy, presenting with slight growth retardation, bradycardia (50-60 bpm) and a systolic murmur. Diagnostic workup, including ECG and echocardiogram, revealed a complete atrioventricular (AV) block with a junctional escape rhythm and mild left ventricular dilation. After ruling out secondary, autoimmune and infectious causes, a diagnosis of idiopathic complete AV block was made. The patient remains under cardiological surveillance to monitor cardiac function and determine the future necessity of pacemaker implantation.
Fields of Study & Subjects
Cardiac electrophysiology and arrhythmias
Cardiac pacing and defibrillation studies
Cardiac Arrhythmias and Treatments
Publication details
- Journal / source
- Medico e Bambino - Pagine Elettroniche
- Volume
- 29
- Issue
- 3
- Pages
- 74–74
- Publication date
- 12 March 2026
- Language
- EN