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Living with Congenital heart block

A rare condition in which the heart's electrical signal is slowed or blocked, usually developing during pregnancy.

Understanding Congenital heart block

Congenital heart block is a rare condition that affects the heart's electrical system.

In affected infants, the electrical signal that makes the heart contract is slowed or completely interrupted. This can affect the heart rate and rhythm and limit how well the heart pumps blood. It generally develops between 18 and 33 weeks of pregnancy. The cause is poorly understood, but mothers with lupus or another autoimmune disease have a higher chance of having a child with it.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Blocked electrical signal between upper and lower heart chambers
  • Complete heart block
  • Premature birth
  • Heart failure, in some
  • Blue skin color, in some

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Autoimmune Association and Fetal Health Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Autoimmune Association, Fetal Health Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Autoimmune Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Does the mother need antibody tests, such as for lupus?
What treatment, such as a pacemaker, might be needed?
How should the heart rhythm be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

The cause is poorly understood. Mothers with lupus or another autoimmune disease and parents with congenital heart disorders have a higher chance of having an affected child. GARD lists autosomal recessive inheritance.

Genetic

Also known as: congenital atrioventricular block

Patient organizations

Source: NIH GARD · Congenital heart blockGARD ID 6164 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital heart block.

Explore the Congenital heart block blog

Explore research for Congenital heart block

Explore actively recruiting Congenital heart block studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Congenital heart block with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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