Cardiogenic shock with complete heart block secondary to dengue myocarditis requiring temporary pacing

2021 ◽  
pp. 1-3
Author(s):  
Muhammad Yusoff Mohd Ramdzan ◽  
Khairul Faizah Mohd Khalid ◽  
Marhisham Che Mood
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Acute Myocarditis ◽  
Rare Complication ◽  
Dengue Infection ◽  
Inotropic Support ◽  
Endemic Country ◽  
Temporary Pacing ◽  
History Of ◽  
Reversible Condition

Abstract This case illustrates acute myocarditis with complete heart block in a 13-year-old teenager as a rare complication of acute dengue illness. He required urgent temporary pacing with inotropic support and antifailure medications. Complete heart block in dengue myocarditis is an acute but reversible condition. A similar presentation in a dengue-endemic country or with a history of travelling to tropical countries warrants a suspicion of dengue infection.

Arrhythmias and Stokes-Adams Attacks in Acute Rheumatic Fever

PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 599-603
Author(s):  
Cora C. Lenox ◽  
James R. Zuberbuhler ◽  
Sang C. Park ◽  
William H. Neches ◽  
Robert A. Mathews ◽  
...  
Keyword(s):  
Rheumatic Fever ◽  
Atrioventricular Block ◽  
Heart Block ◽  
Continuous Monitoring ◽  
Acute Rheumatic Fever ◽  
Complete Heart Block ◽  
Temporary Pacing ◽  
Early Signs ◽  
Degree Heart Block

In spite of general complacency about first-degree heart block in acute rheumatic fever, abnormal conduction with dysrhythmias, occasional complete heart block, and, rarely, Stokes-Adams attacks are important early signs of acute rheumatic fever and may precede other signs. Every person with episodic fainting is entitled to an ECG, and frequent ECGs are imperative in any case of rheumatic fever with signs of arrhythmias. Changing atrioventricular block necessitates continuous monitoring for dysrhythmias. A 13-year-old boy who appeared with Stokes-Adams attacks secondary to acute rheumatic fever was successfully treated by temporary pacing.

Temporary Pacing in Complete Heart Block due to Lyme Disease: A Case Report

1989 ◽  
Vol 12 (8) ◽  
pp. 1433-1436 ◽  
Author(s):  
ISTVAN LORINCZ ◽  
ANDRAS LAKOS ◽  
PETER KOVACS ◽  
CSABA VARVOLGYI ◽  
PETER POLGAR ◽  
...  
Keyword(s):  
Case Report ◽  
Lyme Disease ◽  
Heart Block ◽  
Complete Heart Block ◽  
Temporary Pacing

scholarly journals Complete Heart Block in Thyrotoxicosis, Is It a Manifestation of Thyroid Storm? A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Rashed Al Bannay ◽  
Aysha Husain ◽  
Saeed Khalaf
Keyword(s):  
Case Report ◽  
Atrioventricular Block ◽  
Heart Block ◽  
Cardiac Involvement ◽  
Complete Heart Block ◽  
Rare Complication ◽  
Thyroid Storm ◽  
Common Disease ◽  
Review Of The Literature

Thyrotoxicosis complicated by advance degree atrioventricular block, a rare complication of a common disease. The term apathetic thyrotoxicosis, where palpitations and cardiac involvement are the sole manifestations of disease, is well known. Thyroxin's ability to sensitize the catecholamine receptors causing tachyarrhythmias is well addressed. However, as an aetiology for advanced heart block, thyrotoxicosis is ranked as one of the rarest.

scholarly journals Serial Electrocardiographic Changes in a Young Female with Acute Myocarditis

2019 ◽  
pp. 1-7
Author(s):  
Gurkirat Singh ◽  
Mahesh Bodkhe ◽  
Akshat Jain ◽  
Narender Omprakash Bansal
Keyword(s):  
Myocardial Infarction ◽  
Heart Block ◽  
Complete Heart Block ◽  
Acute Myocarditis ◽  
Young Female ◽  
St Elevation Myocardial Infarction ◽  
Ecg Changes ◽  
Wide Range ◽  
Electrocardiographic Changes ◽  
St Elevation

Electrocardiographic changes in myocarditis mimic a wide range of ECG diagnoses ranging from ST-elevation myocardial infarction to complete heart block. We report a case of acute myocarditis in a young female with a wide range of ECG changes that mimic ST-elevation myocardial infarction and atrioventricular block.

scholarly journals Transient complete heart block: a case report of a rare complication of tricuspid valve infective endocarditis

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Nikhil Singh ◽  
Rohan J Kalathiya
Keyword(s):  
Risk Factors ◽  
Infective Endocarditis ◽  
Tricuspid Valve ◽  
Heart Block ◽  
Complete Heart Block ◽  
Rare Complication ◽  
Mechanical Compression ◽  
Acute Setting ◽  
Traditional Risk Factors ◽  
Valve Pathology

Abstract Background Right-sided tricuspid valve (TV) endocarditis can be difficult to identify and may be under-recognized in the absence of traditional risk factors. While generally identified with aortic valve pathology, infective endocarditis that extends beyond the leaflets of the TV have been reported to cause conduction disease. Case summary We present the case of a 63-year-old patient who presented with haemodynamically unstable complete heart block requiring temporary venous pacemaker support. Despite the absence of traditional risk factors or significant valvular disease on transthoracic echocardiogram, she was found to be persistently bacteraemic and subsequent transoesophageal echocardiogram identified large vegetation on the septal leaflet of the TV. Conduction disease was noted to reverse with antibiotic therapy and resolution of bacteraemia. Discussion Although rare, right-sided endocarditis involving the triangle of Koch may present with conduction disease due to local inflammation and mechanical compression. Conduction disease associated with right-sided disease appears to be readily reversible with medical therapy and temporary device support may be appropriate in the acute setting.

scholarly journals Takotsubo syndrome and complete heart block, which came first? A case report

2021 ◽  
Author(s):  
Mohammad Khurram Nadeem ◽  
Jason Leo Walsh ◽  
Jonathan Behar
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Significant Coronary Artery Disease ◽  
Acute Chest Pain ◽  
Takotsubo Syndrome ◽  
Temporary Pacing ◽  
Transient Loss ◽  
Emotional Trigger ◽  
Artery Disease ◽  
European Society Of Cardiology

Abstract Background In 2018 the European society of cardiology published two consensus documents on takotsubo syndrome which include the current consensus on nomenclature, diagnosis, management and complications. However, little is mentioned on the association with complete heart block, except that “AV block [occurs in] 2.9% of cases”. Complete heart block is a recognised rare association of takotsubo syndrome, but causation is often unclear. Does complete heart block trigger takotsubo syndrome or vice-versa? Here we present a case of takotsubo syndrome associated with complete heart block. Case summary An 89-year-old woman presented with a transient loss of consciousness, acute chest pain and dyspnoea. A few days prior to this her daughter died suddenly of a myocardial infarction. On presentation troponin levels were elevated, the ECG showed complete heart block with a broad QRS and an echo showed apical akinesis and ballooning. Angiographic investigation excluded significant coronary artery disease. A dual chamber pacemaker was implanted after a brief period of temporary pacing. Ventricular function normalized during Follow-up and her underlying rhythm remained complete heart block. Discussion Takotsubo syndrome may be triggered by both emotional and physical stressors. Complete heart block is recognised association but causation is often unclear. In our case a clear emotional trigger was identified suggesting the takotsubo syndrome may have precipitated complete heart block not vice versa.

scholarly journals Hemophagocytic Lymphohistiocytosis; A Rare Complication Of Dengue Haemorrhagic Fever

2021 ◽  
Author(s):  
Chamila Pradeep ◽  
Parackrama Karunathilake ◽  
Shamali Abeygunawardena ◽  
Udaya Ralapanawa ◽  
Thilak Jayalath
Keyword(s):  
Rare Complication ◽  
Ferritin Level ◽  
Dengue Infection ◽  
Clinical Syndrome ◽  
High Fever ◽  
Significant Past Medical History ◽  
Mortality And Morbidity ◽  
Critical Phase ◽  
History Of ◽  
High Degree

Abstract Background Haemophagocytic Lymphohistiocytosis (HLH) is an uncommon systemic inflammatory clinical syndrome associated with numerous conditions and a rare complication of dengue associated with significant mortality and morbidity even with appropriate treatment. The outcome is further poor if the diagnosis is delayed or left untreated. Therefore a high degree of clinical suspicion is paramount in the diagnosis of HLH, especially in an atypical presentation of dengue infection. Case Presentation A 17-year-old boy with a non-significant past medical history admitted with a four-day history of fever, headache, nausea, vomiting, and loose stool. On admission, he was hemodynamically stable and managed as serologically confirmed dengue fever. On the 5th day of fever, he entered the critical phase, which was uncomplicated except for high fever spicks. Even after the critical phase was over, he had ongoing high fever spicks, hepatosplenomegaly with persistent thrombocytopenia, neutropenia and anaemia. Serum ferritin level was > 3000 ng/ml, while the triglyceride level was 314 mg/dl. Bone marrow biopsy revealed an increased haemophagocytic activity. Secondary HLH was diagnosed based on criteria used in the HLH-2004 trial and successfully managed with intravenous dexamethasone 10 mg/body surface area/day for the first two weeks followed by tapering of course over eight weeks. Conclusion Though this is a rare complication, the clinician must suspect HLH in expanded dengue syndrome complicated with ongoing fever, splenomegaly with cytopenias, and necessary investigations to establish a firm diagnosis. Early treatments will result in promising outcomes while preventing complications and reducing mortality.

Complete Heart Block After Cardiac Catheterization: A Rare Complication

PEDIATRICS ◽  
1973 ◽  
Vol 51 (5) ◽  
pp. 935-938
Author(s):  
Michael D. Freed ◽  
Amnon Rosenthal
Keyword(s):  
Case Report ◽  
Tetralogy Of Fallot ◽  
Cardiac Catheterization ◽  
Heart Block ◽  
Complete Heart Block ◽  
Rare Complication ◽  
His Bundle ◽  
Degree Heart Block

A case report of a 4-year-old girl with tetralogy of Fallot who developed A-V dissociation during cardiac catheterization is presented. His bundle electrograms performed six days later localized the block proximal to the recorded His potential. The child has been followed for six months and is well with alternating Wenckebach and first degree heart block.

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