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Bertsias, and colleagues have provided an extensive report of the European League Against Rheumatism (EULAR) recommendations for systemic lupus erythaematosus (SLE).1 While clearly a minor point in an excellent, well balanced clinical manifesto for doctors managing individuals with SLE, in the section on pregnancy outcomes atrioventricular (AV) block is referred to as “foetal heart block”, qualified in parenthesis as “formerly congenital heart block”. The issue of a universally accepted definition of “congenital” heart block may be somewhat controversial.2 It is …
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