{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:15:21Z","timestamp":1758845721288,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,9,1]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Congenital heart block is a rare disorder of neonates. It is generally diagnosed in the antenatal period or at birth and is commonly associated with transplacental passage of anti-Ro and\/or anti-La antibodies to the fetus. It has a high mortality rate if left untreated. A pacemaker is considered as the treatment of choice, but the expertise for pacemaker implantation is available at only a few centres in India. We present a case of a late preterm neonate with antenatally diagnosed heart block due to anti-Ro antibody in the mother. The baby required delivery room resuscitation and mechanical ventilation. Postnatal ECG was also suggestive of third degree heart block and the baby landed into shock soon after birth. The baby was managed initially with ionotropic agents and an epicardial pacemaker was implanted within 6\u2009hours of life. The baby was discharged successfully with stable vitals.<\/jats:p>","DOI":"10.1136\/bcr-2025-266133","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T10:30:27Z","timestamp":1758796227000},"page":"e266133","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Heartbeat of hope: newborn\u2019s journey with a pacemaker"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3741-3258","authenticated-orcid":false,"given":"R K","family":"Shwetabh","sequence":"first","affiliation":[{"name":"Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushil","family":"Kumar K","sequence":"additional","affiliation":[{"name":"Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8659-7658","authenticated-orcid":false,"given":"Kirti M","family":"Naranje","sequence":"additional","affiliation":[{"name":"Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3427-7441","authenticated-orcid":false,"given":"Anita","family":"Singh","sequence":"additional","affiliation":[{"name":"Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Paul","sequence":"additional","affiliation":[{"name":"Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akanksha","family":"Verma","sequence":"additional","affiliation":[{"name":"Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muzil","family":"Munshi","sequence":"additional","affiliation":[{"name":"Cardiovascular Thoracic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Areeb Ahmad","family":"Khan","sequence":"additional","affiliation":[{"name":"Cardiovascular Thoracic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"2025092503301249000_18.9.e266133.1","first-page":"36","article-title":"A review of congenital heart block","volume":"5","author":"Friedman","year":"2003","journal-title":"Images Paediatr Cardiol"},{"key":"2025092503301249000_18.9.e266133.2","unstructured":"Congenital heart block. Available: https:\/\/rarediseases.org\/rare-diseases\/heart-block-congenital\/#affected [accessed 25 Jun 2025]"},{"key":"2025092503301249000_18.9.e266133.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.04.019"},{"key":"2025092503301249000_18.9.e266133.4","doi-asserted-by":"publisher","DOI":"10.1002\/art.20554"},{"key":"2025092503301249000_18.9.e266133.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00161-2"},{"key":"2025092503301249000_18.9.e266133.6","first-page":"50","article-title":"Permanent pacemaker implantation in complete congenital fetal atrioventricular (AV): a case report","volume":"29","author":"Nava","year":"2018","journal-title":"Rev Mex Cardiol"},{"key":"2025092503301249000_18.9.e266133.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.07.034"},{"key":"2025092503301249000_18.9.e266133.8","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1918"},{"key":"2025092503301249000_18.9.e266133.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.04.049"},{"key":"2025092503301249000_18.9.e266133.10","unstructured":"Aylward RD . Congenital heart-block. Br Med J 1928;943."},{"key":"2025092503301249000_18.9.e266133.11","first-page":"467","article-title":"Sur une maladie infantile et familiale characterisee par des modifications permanentes du pouls, des attaques syncopales et epileptiformes et a1 mort subite","volume":"4","author":"Morquio","year":"1901","journal-title":"Arch Med Inf"},{"key":"2025092503301249000_18.9.e266133.12","doi-asserted-by":"publisher","DOI":"10.1097\/00002281-200309000-00003"},{"key":"2025092503301249000_18.9.e266133.13","first-page":"17","article-title":"A brief history of cardiac pacing","volume":"8","author":"Aquilina","year":"2006","journal-title":"Images Paediatr Cardiol"},{"key":"2025092503301249000_18.9.e266133.14","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/S0022-5223(19)40676-4","article-title":"Implantation of permanent pacemaker in the first month of life for congenital complete heart block","volume":"65","author":"Idriss","year":"1973","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025092503301249000_18.9.e266133.15","first-page":"50","article-title":"Permanent pacemaker implantation in complete congenital fetal atrioventricular (AV): a case report","volume":"29","author":"Nava-Rivera","year":"2018","journal-title":"Rev Mex Cardiol"},{"key":"2025092503301249000_18.9.e266133.16","first-page":"331","article-title":"Minimally Invasive Epicardial Pacemaker Implantation in Neonates with Congenital Heart Block","volume":"109","author":"Costa","year":"2017","journal-title":"Arq Bras Cardiol"},{"key":"2025092503301249000_18.9.e266133.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.11.022"},{"key":"2025092503301249000_18.9.e266133.18","doi-asserted-by":"crossref","first-page":"93","DOI":"10.4103\/aca.ACA_94_20","article-title":"Epicardial pacemaker insertion in a preterm very low birth weight neonate - An anaesthetic challenge","volume":"25","author":"Singh","year":"2022","journal-title":"Ann Card Anaesth"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-266133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T10:30:31Z","timestamp":1758796231000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-266133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":18,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9,25]]},"published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1136\/bcr-2025-266133"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-266133","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]}}}