Document Detail


Hypertrophic cardiomyopathy complicated by complete heart block. Case report and review of the literature.
MedLine Citation:
PMID:  6542253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 48-year-old man with symptoms of presyncope and congestive cardiac failure had hypertrophic cardiomyopathy (HCM) without obstruction. Complete heart block (CHB), a rare complication of this disease, was preceded by complete left bundle-branch block. Right ventricular (RV) heart failure was a dominant clinical feature but improved dramatically after temporary transvenous RV pacing prompting the insertion of a permanent RV inhibited pacemaker. Repeated ventricular fibrillation was successfully controlled by amiodarone. This is the seventh case of HCM complicated by CHB reported in the literature, and the first in which RV endomyocardial biopsies were undertaken. Two other patients reported in the literature had RV inhibited permanent pacemakers implanted, and a further 2 had atrioventricular sequential pacemakers.
Authors:
J Z Przybojewski; J J van der Walt; G C Ellis; F A Tiedt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  66     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1984 Dec 
Date Detail:
Created Date:  1984-12-27     Completed Date:  1984-12-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  847-55     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Biopsy
Cardiac Pacing, Artificial
Cardiomyopathy, Hypertrophic / complications*,  physiopathology
Cineangiography
Echocardiography
Heart Block / etiology*,  physiopathology,  therapy
Humans
Male
Middle Aged
Myocardium / pathology

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


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