HomeAnswersCardiologyheart blockHow do complete heart blocks occur?

Can premature birth be the reason for my heart block?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At March 23, 2021
Reviewed AtJuly 7, 2023

Patient's Query

Hello doctor,

I have a complete heart block, and I have a pacemaker. Can you please answer these questions for me? How does or how can complete heart blocks occur? Can it be caused by being born at 28 weeks and earlier because the heart is not fully developed? I was born at 28 weeks, and apparently, my heart was at second-degree heart block, which subsequently progressed to complete AV block. How can or how does that happen? Like how does a second-degree block turn into an AV block? Is it true that a complete heart block can cause serious problems without a pacemaker? Like cardiac arrest, heart failure, and heart attacks? If pacemakers never existed, could that have happened to people like me? Apparently, when I was born, I took this drug for a while before I got the pacemaker, but I got immune to the drug though. So they recommended a permanent pacemaker when I was two years old.

Hi,

Welcome to icliniq.com.

There are many causes for heart block such as heart attack, degenerative disease of heart, old age, infection of heart, and certain medicines and congenital heart block. Premature birth is not the cause of heart block. Certain diseases in mothers during pregnancy can cause heart block in the fetus. 2 to 4% percent of babies born to women with systemic lupus erythematosus (SLE) or Sjogren's syndrome have heart block. In these diseases, some antibodies in the mother cross the placenta and affect the fetus's conduction system of the heart. All complete heart block need a pacemaker if it is not reversible. One exception is congenital complete heart block, and they remain asymptomatic for the rest of the years before they develop symptoms on exertion or if heart rate slows further. If the heart rate is very slow, the pacemaker is implanted in the early years of life. Heart block does not cause heart attack, but it can cause cardiac arrest. It can cause heart failure not by itself but when there is a heart attack from any cause. I hope I have clarified. If still, you have questions, I will be happy to address them. Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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