Document Detail

Transient complete heart block complicating acute rheumatic fever.
MedLine Citation:
PMID:  11999098     Owner:  NLM     Status:  MEDLINE    
First-degree heart block is a common electrocardiographic manifestation of acute rheumatic fever and is included in Jones' diagnostic criteria. Other electrocardiographic changes such as sinus tachycardia, bundle branch blocks. nonspecific ST-T wave changes, atrial and ventricular premature complexes have been reported with variable frequency. However, complete heart block is an exceptionally rare manifestation of acute rheumatic fever. We report the clinical course of a 16-year-old boy with acute rheumatic fever who had prolonged P-R interval in the electrocardiogram on admission which subsequently progressed to complete heart block. The patient regained normal sinus rhythm within a few minutes without any pharmacologic or electrical intervention.
Javid A Malik; C Hassan; G Q Khan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  54     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    2002 Jan-Feb
Date Detail:
Created Date:  2002-05-09     Completed Date:  2002-06-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  India    
Other Details:
Languages:  eng     Pagination:  91-2     Citation Subset:  IM    
Department of Medicine, Government Medical College and Associated SMHS Hospital, Srinagar.
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MeSH Terms
Acute Disease
Disease Progression
Heart Block / etiology*
Rheumatic Fever / complications*
Rheumatic Heart Disease / complications*

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