Document Detail

Advanced heart block and atrial flutter in a patient with HLA B27 spondyloarthropathy.
MedLine Citation:
PMID:  20118489     Owner:  NLM     Status:  MEDLINE    
An athletic 43-year-old man presented with symptomatic bradycardia and atrial flutter after being diagnosed with HLA B27 associated spondyloarthropathy several months earlier. The patient was admitted and underwent electrophysiology evaluation with ablation of his atrial flutter and eventually underwent pacemaker implantation. His cardiac workup showed a structurally normal heart and strongly suggested that his HLA B27 associated spondyloarthropathy was responsible for his presentation. A review of the literature suggests that HLA B27 spondyloarthropathy related heart block may be an often overlooked cause of heart block in otherwise healthy patients.
Aneesh Tolat; Subramanian Krishnan; Neal Lippman; Joseph Dell'Orfano; Ellison Berns
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-29
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  12     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-25     Completed Date:  2010-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  903-4     Citation Subset:  IM    
St Francis Hospital and Medical Center, 1000 Asylum Ave., Suite 3206, Hartford, CT 06105, USA.
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MeSH Terms
Atrial Flutter / diagnosis,  etiology*,  therapy
Cardiac Pacing, Artificial
HLA-B27 Antigen / immunology*
Heart Block / diagnosis,  etiology*,  therapy
Spondylarthropathies / complications*,  immunology*
Reg. No./Substance:
0/HLA-B27 Antigen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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