Document Detail


Postpartum complete atrioventricular block due to cardiac sarcoidosis: steroid therapy without permanent pacemaker.
MedLine Citation:
PMID:  18612194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 32 year-old woman with bilateral hilar lymphadenopathy suffered from syncopal attacks after her first delivery. Electrocardiograms showed complete atrioventricular block (AVB) and myocardial scintigrams demonstrated a decreased uptake in the anteroseptal area. She was diagnosed as having postpartal cardiac acceleration of sarcoidosis. Because she rejected permanent pacemaker implantation, we started steroid therapy under temporary pacing. Fortunately, the treatment was very effective. Even after tapering-off of the steroid, the AVB has never reappeared. Permanent pacemaker implantation with subsequent steroid therapy is generally recommended for complete AVB due to cardiac sarcoidosis. However, steroid therapy alone can be considered for some selected cases.
Authors:
Kazuro Sugishita; Yuki Togashi; Akira Aizawa; Masako Asakawa; Shin-ichi Usui; Nobuhiko Ito; Tetsuo Yamaguchi; Yoshiyuki Hada; Toshiyuki Takahashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International heart journal     Volume:  49     ISSN:  1349-2365     ISO Abbreviation:  -     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-07-09     Completed Date:  2008-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101244240     Medline TA:  Int Heart J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  377-84     Citation Subset:  IM    
Affiliation:
Department of Cardiology, JR Tokyo General Hospital, Shibuya-ku, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Atrioventricular Block / drug therapy,  etiology*,  radionuclide imaging
Cardiomyopathies / complications*,  drug therapy,  radiography
Female
Glucocorticoids / therapeutic use*
Humans
Pacemaker, Artificial
Postpartum Period
Pregnancy
Pregnancy Complications, Cardiovascular*
Sarcoidosis / complications*,  drug therapy,  radiography
Chemical
Reg. No./Substance:
0/Glucocorticoids

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


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