Clinical Pediatrics

 

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Clinical Pediatrics, Vol. 14, No. 4, 345-348 (1975)
DOI: 10.1177/000992287501400405

Complete Heart Block Mimicking Seizure Disorder

Observations on Two Cases

Zai Q. Farooki, M.D.

Department of Pediatrics, Section of Cardiology, Children's Hospital of Michigan and Wayne State University, School of Medicine, Detroit, Mich.

James G. Henry, M.D.

Department of Pediatrics, Section of Cardiology, Children's Hospital of Michigan and Wayne State University, School of Medicine, Detroit, Mich.

Edward W. Green, M.D.

Department of Pediatrics, Section of Cardiology, Children's Hospital of Michigan and Wayne State University, School of Medicine, Detroit, Mich.

Two patients are described who presented with seizures. Electrocardiogram revealed com plete heart block with ventricular asystole last ing four to 10 seconds in each case. These Stokes-Adams episodes were controlled with temporary transvenous pacing. Although there was full clinical recovery in each case, both patients continue to have right bundle branch block (RBBB) and left anterior hemiblock (LAH) 11/2 years after their initial presentation.


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