Abstract
To diagnose solitary complete heart block as early as we can, then we could establish the principal therapeutic decision for whether earlier intervention or not, and the timing of pacemaker insertion. Use fetal cardioechography with M-mode to diagnose prenatal solitary complete heart block. The solitary complete heart block should be diagnosed as dissociation between atrial and ventricular contractions under M mode, without structural heart abnormalities. The congenital complete heart block without structural heart abnormalities might have fine outcome. If autoimmune related, the treatment would be maternal use of steroids, or autoantibody neutralization. The other choice of treatment would be pacemaker insertion for the newborn.
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