Mohan, V.K., Naik, A.K., Bharti, N. and Shende, D. (2003) A Patient with Congenital Complete Heart Block Undergoing Multiple Exposures to General Anesthesia. Anaesthesia and Intensive Care, 31, 667-671.

has been cited by the following article:

• TITLE: Do Patients with Asymptomatic Congenital Complete Heart Block Require a Pacemaker for Non-Cardiac Surgery?

  AUTHORS: Barry Swerdlow

  KEYWORDS: Congenital Complete Heart Block, Pacemaker, Non-Cardiac Surgery

  JOURNAL NAME: Open Journal of Anesthesiology, Vol.8 No.4, April 30, 2018

  ABSTRACT: The appropriate preparation of the patient with asymptomatic congenital complete heart block (CCHB) and a narrow QRS complex for elective non-cardiac surgery is controversial. Prophylactic temporary pacemaker insertion is associated with well-defined risks, and less invasive techniques exist to treat transient, hemodynamically significant intraoperative brady-arrhythmias. The present case report details the performance of general anesthesia for arthroscopic knee surgery in an adult patient with this condition without a pacemaker. Documentation of preoperative chronotropic competence with isoproterenol may be of value in deciding whether to proceed without temporary pacing capability in this setting.