Early-onset cardiomyopathy after pacemaker implanted in a preterm infant with congenital complete heart block and anti-ro/ssa antibodies

Marium Iqbal; Krishna Kishore Umapathi; Raymond Morales; Lamya Mubayed; John W. Bokowski; Osama Eltayeb; Hoang Nguyen

doi:10.14503/THIJ-19-7201

Early-onset cardiomyopathy after pacemaker implanted in a preterm infant with congenital complete heart block and anti-ro/ssa antibodies

Marium Iqbal, Krishna Kishore Umapathi, Raymond Morales, Lamya Mubayed, John W. Bokowski, Osama Eltayeb, Hoang Nguyen

Division of Cardiology

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Congenital complete heart block is a potentially fatal complication that can occur in neonates whose mothers have autoimmune disorders; it has rarely been reported in the presence of Sjögren syndrome. Pacemaker implantation is recommended to treat rhythm abnormalities in these neonates. We report the case of a late-preterm infant with Sjögren-syndrome-antibody–induced complete heart block who underwent temporary bipolar epicardial pacing as a bridge to permanent pacemaker implantation. Soon after the pacemaker was implanted, takotsubo cardiomyopathy developed. To our knowledge, this is the first report of reversible cardiomyopathy after pacemaker implantation in an infant. (Tex Heart Inst J 2021;48(2):e197201).

Original language	English
Article number	e197201
Journal	Texas Heart Institute journal
Volume	48
Issue number	2
DOIs	https://doi.org/10.14503/THIJ-19-7201
State	Published - 2021

Keywords

Autoantibodies/analysis
Cardiac pacing, artificial
Heart block/congenital/ therapy
Infant, new-born
Maternal-fetal exchange
Postoperative complications/therapy
Sjögren’s syndrome
Takotsubo cardiomyopathy/etiology
Treatment outcome
Ventricular dysfunction, left/etiology/therapy

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10.14503/THIJ-19-7201

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title = "Early-onset cardiomyopathy after pacemaker implanted in a preterm infant with congenital complete heart block and anti-ro/ssa antibodies",

abstract = "Congenital complete heart block is a potentially fatal complication that can occur in neonates whose mothers have autoimmune disorders; it has rarely been reported in the presence of Sj{\"o}gren syndrome. Pacemaker implantation is recommended to treat rhythm abnormalities in these neonates. We report the case of a late-preterm infant with Sj{\"o}gren-syndrome-antibody–induced complete heart block who underwent temporary bipolar epicardial pacing as a bridge to permanent pacemaker implantation. Soon after the pacemaker was implanted, takotsubo cardiomyopathy developed. To our knowledge, this is the first report of reversible cardiomyopathy after pacemaker implantation in an infant. (Tex Heart Inst J 2021;48(2):e197201).",

keywords = "Autoantibodies/analysis, Cardiac pacing, artificial, Heart block/congenital/ therapy, Infant, new-born, Maternal-fetal exchange, Postoperative complications/therapy, Sj{\"o}gren{\textquoteright}s syndrome, Takotsubo cardiomyopathy/etiology, Treatment outcome, Ventricular dysfunction, left/etiology/therapy",

author = "Marium Iqbal and Umapathi, {Krishna Kishore} and Raymond Morales and Lamya Mubayed and Bokowski, {John W.} and Osama Eltayeb and Hoang Nguyen",

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year = "2021",

doi = "10.14503/THIJ-19-7201",

language = "English",

volume = "48",

journal = "Texas Heart Institute journal",

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T1 - Early-onset cardiomyopathy after pacemaker implanted in a preterm infant with congenital complete heart block and anti-ro/ssa antibodies

AU - Iqbal, Marium

AU - Umapathi, Krishna Kishore

AU - Morales, Raymond

AU - Mubayed, Lamya

AU - Bokowski, John W.

AU - Eltayeb, Osama

AU - Nguyen, Hoang

PY - 2021

Y1 - 2021

N2 - Congenital complete heart block is a potentially fatal complication that can occur in neonates whose mothers have autoimmune disorders; it has rarely been reported in the presence of Sjögren syndrome. Pacemaker implantation is recommended to treat rhythm abnormalities in these neonates. We report the case of a late-preterm infant with Sjögren-syndrome-antibody–induced complete heart block who underwent temporary bipolar epicardial pacing as a bridge to permanent pacemaker implantation. Soon after the pacemaker was implanted, takotsubo cardiomyopathy developed. To our knowledge, this is the first report of reversible cardiomyopathy after pacemaker implantation in an infant. (Tex Heart Inst J 2021;48(2):e197201).

AB - Congenital complete heart block is a potentially fatal complication that can occur in neonates whose mothers have autoimmune disorders; it has rarely been reported in the presence of Sjögren syndrome. Pacemaker implantation is recommended to treat rhythm abnormalities in these neonates. We report the case of a late-preterm infant with Sjögren-syndrome-antibody–induced complete heart block who underwent temporary bipolar epicardial pacing as a bridge to permanent pacemaker implantation. Soon after the pacemaker was implanted, takotsubo cardiomyopathy developed. To our knowledge, this is the first report of reversible cardiomyopathy after pacemaker implantation in an infant. (Tex Heart Inst J 2021;48(2):e197201).

KW - Autoantibodies/analysis

KW - Cardiac pacing, artificial

KW - Heart block/congenital/ therapy

KW - Infant, new-born

KW - Maternal-fetal exchange

KW - Postoperative complications/therapy

KW - Sjögren’s syndrome

KW - Takotsubo cardiomyopathy/etiology

KW - Treatment outcome

KW - Ventricular dysfunction, left/etiology/therapy

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DO - 10.14503/THIJ-19-7201

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SN - 0730-2347

VL - 48

JO - Texas Heart Institute journal

JF - Texas Heart Institute journal

IS - 2

M1 - e197201

ER -

Early-onset cardiomyopathy after pacemaker implanted in a preterm infant with congenital complete heart block and anti-ro/ssa antibodies

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Keywords

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