Document Detail

Complete atrioventricular block and infective endocarditis in a patient with hypertrophic obstructive cardiomyopathy.
MedLine Citation:
PMID:  22466832     Owner:  NLM     Status:  In-Data-Review    
A 62-year-old man with hypertrophic obstructive cardiomyopathy (HOCM) had complete atrioventricular (AV) block and subsequent cardiac standstill. A previous electrocardiogram revealed a bifascicular block pattern. Because he also suffered from infective endocarditis of the native aortic valve, surgical therapy (dual-chamber permanent pacing, myectomy of the left ventricular outflow tract, and valve replacement) was performed. Complete AV block unrelated to a procedure is a rare complication in patients with HOCM, but it may be life-threatening. Therefore, a pre-existing cardiac conduction disturbance should be specifically recognized as the aura of a higher degree of AV block.
Takuji Katayama; Yoshio Tsuruya; Susumu Ishikawa
Publication Detail:
Type:  Journal Article     Date:  2012-04-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  51     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  749-53     Citation Subset:  IM    
Division of Cardiology, Tokyo Kita Social Insurance Hospital, Japan.
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