OBJECTIVE: To determine whether @entity1 with pallid breath-holding spells associated with @entity1168 can be treated safely and successfully with permanent pacemaker implantation. METHODS: The records of pediatric @entity1 who had apparent breath-holding spells and associated @entity1168 and were treated with permanent pacemaker implantation were reviewed. RESULTS: Ten pediatric @entity1 with apparent breath-holding spells associated with @entity1168 were treated with a permanent ventricular demand pacemaker at the Mayo Clinic between 1985 and 1995. @entity1 had onset of symptoms between ages 6 days and 12 months and presented for evaluation between ages 12 months and 5 years. Duration of spells was 15 seconds to 10 minutes. Medications to prevent spells were unsuccessful. Electrocardiograms documented asystolic pauses of 1.7 to 24 seconds (mean: 11.9 seconds). Permanent ventricular demand pacemakers were implanted at 10 months to 5 years of age (median: 14.5 months): 9 endocardial and 1 epicardial. Three @entity1 required pacemaker revision. At follow-up of 38 to 170 months (median: 65.5), 5 @entity1 had complete resolution of spells, 2 had only mild color change without loss of consciousness or @entity410 activity, and 3 continued to have minor brief spells. CONCLUSIONS: Permanent pacemaker therapy for @entity1 with pallid breath-holding spells associated with severe @entity1168 is safe, efficacious, and warranted.

Breath-holding spells associated with significant XXXX : successful treatment with permanent pacemaker implantation.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure'] @entity1168 :: ('MESH:D001919', 'Disease') :: ['bradycardia']
@entity1168 :: (MESH:D001919,Disease) :: ['bradycardia']
