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We present a case of a male infant born by emergency caesarean section for fetal bradycardia detected in the context of a maternal intercurrent illness at 31+5 weeks’ gestation. He was born vigorous despite a heart rate of 65–80 beats/min. ECG at birth (figure 1) demonstrates a ‘pseudo-block’ phenomenon arising from a profoundly prolonged QT interval (633 ms). Non-conducted P waves occur before the T wave of the preceding QRS as the ventricles have not repolarised before the atria contract for the second …
Contributors AC and TP conceptualised the idea for the article. STK performed the literature search and drafted the manuscript. AC and TP critically revised the work and edited the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.