Document Detail

Seizures and syncope due to complete atrioventricular block in a patient with acute myocarditis with a normal left ventricular systolic function.
MedLine Citation:
PMID:  23124146     Owner:  NLM     Status:  In-Data-Review    
A 43-year-old man was admitted to our hospital presenting with seizures and syncope. He had a history of a cold with a fever of 39°C occurring three days earlier. Electrocardiography (ECG) showed complete atrioventricular block (AV block) with a maximum pause of 32 seconds, for which temporary pacing was performed. Echocardiography showed mild hypertrophy of the left ventricle (LV) with a normal ejection fraction of 61%. Coronary angiography showed normal coronary arteries. Then, an endomyocardial biopsy was performed, the results of which indicated a diagnosis of acute myocarditis. After admission, the complete atrioventricular block disappeared together with normalization of the LV wall thickness.
Ryohei Akashi; Yoshihisa Kizaki; Hiroaki Kawano; Yasushi Takahara; Kojiro Nakao; Nobuhisa Yonemitsu; Saburo Kusumoto; Koji Maemura
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Publication Detail:
Type:  Journal Article     Date:  2012-11-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  51     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2012  
Date Detail:
Created Date:  2012-11-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  3035-40     Citation Subset:  IM    
Department of Cardiology, Sasebo Chuo Hospital, Japan.
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