PEDIATRICS Vol. 62 No. 5 November 1978, pp. 847-849
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Complete Heart Block in Epstein-Barr Myocarditis

Milton J. Reitman M.D.1, Heddu J. Zirin M.D.1, and Charles J. DeAngelis M.D.1

1 Department of Pediatrics, Division of Pediatric Cardiology, North Shore University Hospital Manhasset, New York, Department of Pediatrics, Cornell University Medical College, New York

The clinician must recognize that the Epstein-Barr virus can affect the conduction system of the heart. Therefore, children with infectious mononucleosis who develop bradycardia or hypotension deserve careful cardiac evaluation, including serial ECGs. Pacemaker therapy may be necessary in the treatment of life-threatening bradyarrhymias.