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Transient Fetal Atrioventricular Block: A Series of Four Cases and Approach to Management
  • Sandra D. Kikano,
  • Stacy A. S. Killen
Sandra D. Kikano
Monroe Carell Junior Children's Hospital at Vanderbilt

Corresponding Author:[email protected]

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Stacy A. S. Killen
Monroe Carell Junior Children's Hospital at Vanderbilt
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Abstract

Fetal atrioventricular block (AVB) is a failure of conduction from atria to ventricles. Immune- and non-immune-mediated forms occur, especially in association with congenital heart disease. Second-degree (2°) AVB may be reversible with dexamethasone and IVIG in immune-mediated disease. However, once third-degree AVB develops, it is deemed irreversible with need for a pacemaker and risk for cardiomyopathy. Rarely, 2° AVB is a transient, benign phenomenon in the immature conduction system. Few case series of transient AVB have been reported, but a management approach has not been defined. We report four patients with self-resolving, non-immune fetal AVB and outline a management strategy.
19 Apr 2022Submitted to Journal of Cardiovascular Electrophysiology
20 Apr 2022Submission Checks Completed
20 Apr 2022Assigned to Editor
25 Apr 2022Reviewer(s) Assigned
25 May 2022Review(s) Completed, Editorial Evaluation Pending
30 May 2022Editorial Decision: Revise Minor
21 Jun 20221st Revision Received
28 Jun 2022Submission Checks Completed
28 Jun 2022Assigned to Editor
28 Jun 2022Reviewer(s) Assigned
21 Jul 2022Review(s) Completed, Editorial Evaluation Pending
27 Jul 2022Editorial Decision: Accept
Oct 2022Published in Journal of Cardiovascular Electrophysiology volume 33 issue 10 on pages 2228-2232. 10.1111/jce.15642