Treatment of Severe Diphtheritic Myocarditis by Temporary Insertion of a Cardiac Pacemaker

Vietnamese children and adolescents with diphtheritic myocarditis and severe conduction abnormalities were treated prospectively with temporary insertion of a cardiac pacemaker. Five of 32 patients died before the procedure could be performed; the remaining 27 patients underwent successful pacemaker...

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Bibliographic Details
Published in:Clinical infectious diseases 2002-12, Vol.35 (11), p.1425-1429
Main Authors: Dung, Nguyen Minh, Kneen, Rachel, Kiem, Nguyen, Bethell, Delia B., Phu, Nguyen Hoan, Solomon, Tom, Chau, Tran Thi Hong, Mai, Nguyen Thi Hoang, Day, Nicholas P. J., White, Nicholas J.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Bacterial diseases
Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels
Biological and medical sciences
Brief Reports
Cardiology. Vascular system
Child
Child, Preschool
Children
Diphtheria
Diphtheria - complications
Heart
Heart block
Hospital units
Human bacterial diseases
Humans
Infectious diseases
Medical sciences
Mortality
Myocarditis
Myocarditis - etiology
Myocarditis - microbiology
Myocarditis - mortality
Myocarditis - therapy
Myocarditis. Cardiomyopathies
Pacemaker, Artificial
Toxins
Treatment Outcome
Tropical medicine
Vietnam
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Summary:Vietnamese children and adolescents with diphtheritic myocarditis and severe conduction abnormalities were treated prospectively with temporary insertion of a cardiac pacemaker. Five of 32 patients died before the procedure could be performed; the remaining 27 patients underwent successful pacemaker insertion. In children and adolescents with diphtheritic myocarditis and severe conduction defects, temporary insertion of a cardiac pacemaker may improve the outcome.
ISSN:1058-4838
1537-6591
DOI:10.1086/344176