2013•Annals of Pediatric CardiologyOpen access

Complete heart block due to diphtheritic myocarditis in the present era

Sivasubramanian Ramakrishnan, Mithun J. Varghese, ShyamS Kothari, Akhil Parashar, Rajnish Juneja, Anitá Saxena

Abstract

Diphtheria continues to be reported from many parts of the world. Complete heart block is rare but often fatal complication of diphtheric myocarditis. We report six children with diphtheric myocarditis who presented with complete heart block. Three patients survived, one with persistent complete heart block. Aggressive supportive management including transvenous pacing may result in complete recovery in a significant number of children with diphtheric myocarditis.

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Key concepts: Medicine, Myocarditis, Heart block, Diphtheria, Complication, Cardiology, Internal medicine, Pediatrics