Third-degree atrioventricular block (Pediatrics - PEDS)

High urgency
-Moderately severe

It is a type of slow arrhythmia characterized by a total interruption of electrical conduction between the chambers of the heart. There is an electrical disconnection between the atria and ventricles.

The most frequent causes in infancy are hereditary heart disease (congenital heart disease), infections and cardiac surgery. It is frequent in newborns whose mothers have Lupus.

In the newborn, it manifests with a slow heart rhythm. In infancy, in addition to the slow heart rate, other symptoms such as weakness, poor exercise tolerance and loss of consciousness may occur.

Diagnosis is made by clinical history, physical examination and electrocardiogram.

To maintain the heart rate close to the normal range, drugs that accelerate the heart rate and if necessary a pacemaker will be used.

Bibliographic references
  1. William H Sauer. Congenital third degree (complete) atrioventricular block. UpToDate, Octubre 2015
  2. Jaeggi ET. Outcome of children with fetal, neonatal or childhood diagnosis of isolated congenital atrioventricular block. A single institution's experience of 30 years. J Am Coll Cardiol 2002; 39:130.
  3. Brucato A. Risk of congenital complete heart block in newborns of mothers with anti-Ro/SSA antibodies detected by counterimmunoelectrophoresis: a prospective study of 100 women. Arthritis Rheum 2001; 44:1832.
  4. Baruteau AE, Fouchard S, Behaghel A, et al. Characteristics and long-term outcome of non-immune isolated atrioventricular block diagnosed in utero or early childhood: a multicentre study. Eur Heart J 2012; 33:622.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Loss of consciousness


    Get tired easily


    Tiredness / fatigue


    Passing little urine


    Dizziness