Long-term effects of permanent pacemaker therapy on growth in children with complete heart block - Report - MDSpire
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Impact of Permanent Pacemaker Treatment on Growth Outcomes in Pediatric Patients with Complete Heart Block

  • By

  • Kutay Sel

  • Yasemin Nuran Dönmez

  • Hayrettin Hakan Aykan

  • Aydın Adıgüzel

  • İlker Ertuğrul

  • Tevfik Karagöz

  • August 12, 2026

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Clinical Report: Impact of Permanent Pacemaker Treatment on Growth Outcomes in Pediatric Patients with Complete Heart Block

Overview

This study evaluates the long-term growth outcomes of pediatric patients with complete heart block (CHB) following permanent pacemaker (PM) implantation. Significant increases in weight and body mass index (BMI) Z scores were observed, while height Z scores showed no significant change.

Background

Complete heart block (CHB) is a rare but serious condition in children that can lead to life-threatening complications. The implantation of a permanent pacemaker is a critical intervention that can improve cardiac function.

Data Highlights

MeasurementPre-implantation Z ScorePost-implantation Z ScoreStatistical Significance
WeightActual Z ScoreActual Z Scorep < 0.05
BMIActual Z ScoreActual Z Scorep < 0.05
HeightActual Z ScoreActual Z ScoreNot significant

Key Findings

  • 25 pediatric patients with CHB were studied, aged 2 to 16 years.
  • Average follow-up duration was 7.65 ± 2.79 years.
  • Weight and BMI Z scores significantly increased post-implantation (p < 0.05).
  • Height Z scores showed an upward trend but did not reach statistical significance.

Clinical Implications

The findings indicate that PM implantation is associated with increases in weight and BMI in children with CHB.

Conclusion

Permanent pacemaker implantation in pediatric patients with complete heart block is associated with significant improvements in weight and BMI.

Related Resources & Content

  1. Pediatric Cardiology, Pediatric Cardiac Pacing from the Proximal Right Ventricular Septum: Maintenance of Left Ventricular Systolic Function During Follow-Up
  2. Pediatric Cardiology, Long-Term Left Ventricular Pacing Supports Cardiac Function in Pediatric Patients
  3. Pediatric Cardiology, Pediatric Conduction System Pacing and Congenital Heart Disease: Insights from a Series of 24 Cases at a Single Institution
  4. Pediatric Cardiology, Comparative Analysis of Epicardial and Endocardial Pacing in Children with Atrioventricular Block or Sinus Node Dysfunction: A Systematic Review and Meta-analysis
  5. 2021 PACES Expert Consensus Statement on the
  6. Dual- vs Single-Chamber Ventricular Pacing in Isolated Congenital Complete Atrioventricular Block in Infancy - PubMed
  7. Frontiers | Long-term effects of permanent pacemaker therapy on growth in children with complete heart block
  8. 2021 PACES Expert Consensus Statement on the
  9. Dual- vs Single-Chamber Ventricular Pacing in Isolated Congenital Complete Atrioventricular Block in Infancy - PubMed
  10. Frontiers | Long-term effects of permanent pacemaker therapy on growth in children with complete heart block

Original Source(s)

Long-term effects of permanent pacemaker therapy on growth in children with complete heart block

  • by Kutay Sel, Yasemin Nuran Dönmez, Hayrettin Hakan Aykan, Aydın Adıgüzel, İlker Ertuğrul, Tevfik Karagöz

  • August 12, 2026

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