This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by PAUL, M. H. Articles by NADAS, A. S. Search for Related Content PubMed PubMed Citation Articles by PAUL, M. H. Articles by NADAS, A. S.

(Circulation. 1958;18:183.)
© 1958 American Heart Association, Inc.

---

Congenital Complete Atrioventricular Block: Problems of Clinical Assessment

MILTON H. PAUL M.D.¹; ABRAHAM M. RUDOLPH M.D.¹; ALEXANDER S. NADAS M.D.¹

¹ From the Sharon Cardiovascular Unit of the Children's Medical Center and the Department of Pediatrics, Harvard Medical School, Boston, Mass.

The diagnosis of congenital complete atrioventricular block usually offers little difficulty. There remains, however, the problem of interpreting certain clinical findings, including systolic and diastolic murmurs and cardiomegaly, which are sometimes falsely suggestive of an associated congenital heart lesion. The clinical, radiologic, and electrocardiographic findings in 27 children with congenital complete heart block have been analyzed in terms of the hemodynamic abnormalities found at cardiac catheterization in 12 of these patients.