Document Detail

Syncope due to paroxysmal atrioventricular block in a patient with systemic sclerosis: a case report.
MedLine Citation:
PMID:  18388099     Owner:  NLM     Status:  MEDLINE    
A 79-year-old woman with systemic sclerosis was admitted to our hospital because of syncope. On admission, electrocardiogram showed progression of intraventricular conduction defect. Chest radiograph showed marked cardiomegaly. Echocardiogram revealed deterioration of left ventricular systolic function. We suspected progressive myocardial disease with Stokes-Adams attack. When we were preparing a temporary pacemaker, paroxysmal atrioventricular block with asystole for 15 seconds and convulsion occurred. Electrophysiological study showed His-ventricular block and sinus node dysfunction. A permanent pacemaker was implanted. In systemic sclerosis, progression of ventricular conduction defect may warrant prompt electrophysiological study and prophylactic pacemaker implantation.
Kotaro Oe; Kiyoo Mori; Satoshi Gommori; Tetsuo Konno; Noboru Fujino; Masakazu Yamagishi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-02
Journal Detail:
Title:  Angiology     Volume:  59     ISSN:  1940-1574     ISO Abbreviation:  Angiology     Publication Date:    2008 Dec-2009 Jan
Date Detail:
Created Date:  2008-12-17     Completed Date:  2009-01-09     Revised Date:  2009-02-03    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  769-71     Citation Subset:  IM    
Division of Internal Medicine, Houju Memorial Hospital, Nomi, Ishikawa, Japan.
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MeSH Terms
Atrioventricular Block / etiology*,  pathology,  physiopathology,  therapy
Cardiac Pacing, Artificial
Cardiomegaly / etiology,  physiopathology
Electrophysiologic Techniques, Cardiac
Heart Conduction System / physiopathology*
Pacemaker, Artificial
Scleroderma, Systemic / complications*,  pathology,  physiopathology
Syncope / etiology*,  pathology,  physiopathology,  prevention & control
Treatment Outcome
Ventricular Dysfunction, Left / etiology,  physiopathology

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