scholarly journals Complete heart block in Acute Rheumatic fever

2013 ◽  
Vol 9 (1) ◽  
pp. 56-58
Author(s):  
CM Poudel ◽  
RM Gajurel ◽  
M Barkoti ◽  
SM Acharya ◽  
OM Anil
Keyword(s):  
Rheumatic Fever ◽  
Heart Block ◽  
Acute Rheumatic Fever ◽  
Complete Heart Block ◽  
Cardiac Conduction ◽  
Conduction Disturbances ◽  
Ventricular Premature Complexes ◽  
Bundle Branch Blocks ◽  
Temporary Pacemaker ◽  
Electrocardiographic Changes

Rheumatic fever can cause a variety of cardiac conduction disturbances. 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 a 15 years female who developed Complete heart Block during an episode of acute rheumatic carditis. The patient was successfully treated with conventional treatment and Temporary Pacemaker. DOI: http://dx.doi.org/10.3126/njh.v9i1.8351 Nepalese Heart Journal Vol.9(1) 2012 pp.56-58

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.

scholarly journals Complete Heart Block In Pregnancy : A Case Report

2021 ◽  
Author(s):  
Dhanang Ali Yafi ◽  
Cloudia Noviani ◽  
Rahmi Eka Saputri ◽  
Adi Purnawarman ◽  
Mohd. Andalas ◽  
...  
Keyword(s):  
Heart Block ◽  
Multidisciplinary Approach ◽  
Complete Heart Block ◽  
Rare Condition ◽  
Cardiac Conduction ◽  
Close Monitoring ◽  
Av Block ◽  
Cardiac Functions ◽  
Temporary Pacemaker ◽  
In Pregnancy

Background: Complete heart block occurs due to various pathological conditions that cause an infiltration, fibrosis, or lose the connection from a part of the cardiac conduction system. Complete heart  block in pregnancy is often caused by congenital anomalies. Around 30% cases, complete heart block remain asymptomatic and not detected until adulthood and may present in pregnancy state and puerperium. When the reversible cause of the AV Block cannot be found, the permanent pacemaker or temporary pacemaker may be indicated when the patients show the symptoms. Case Illusration: A-21 year old female, G2P0A1 preterm pregnancy (27-28 weeks) with bradycardia. From electrocardiograph examination revealed Total AV Block with junctional escape rhytym. Transthoracic echocardiogram shows massive tricuspid regurgitation, early phase of peripartum cardiomyopathy and ejection fraction 36-40%. Caesarean section was peformed due to PPROM. A male baby was born with birth weight of 1100 grams, 32 centimeters of body length and APGAR score of 7/9. The baby was died in NICU on day care 4th, with suspected respiratory problem. Conclusion: Complete heart block in pregnancy is a rare condition. This condition could remain asymptomatic and not detected until pregnancy. Multidisciplinary approach, close monitoring of the symptoms and cardiac functions are needed for patients with CHB.

About contraindications to the use of digitalis

1930 ◽  
Vol 26 (10) ◽  
pp. 1052-1052
Author(s):  
D. Scherf
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Heart Block ◽  
Blood Circulation ◽  
Complete Heart Block ◽  
Minute Volume ◽  
Absolute Contraindication ◽  
Conduction Disturbances ◽  
Digitalis Therapy ◽  
General Pathology

Abstracts. General pathology and therapy. About contraindications to the use of digitalis D. Scherf (Dioarztliche Praxis No. 1-1930) considers it unreasonable to be afraid of digitalis with sometimes concomitant cardiac weakness of bradycardia, since digitalis contributes to lengthening diastole, better filling the ventricles, increasing their contractions and increasing minute volume, and a trace, and improve blood circulation. In case of conduction disturbances, one should not always be afraid of using digitalis'a, since practice has shown that a complete heart block coming from digitalis'a sometimes improves the patient's condition. High blood pressure is not an absolute contraindication for digitalis therapy, as for reasons unknown to us, digitalis often lowers blood pressure.

Complete Heart Block after open Heart Surgery in Children with Congenital Cardiac Diseases Feasibility of more waiting time before PPM administration

2021 ◽  
Vol 4 (11) ◽  
pp. 01-06
Author(s):  
Akbar Molaei
Keyword(s):  
Heart Block ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Complete Heart Block ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Cardiac Conduction ◽  
Cardiac Diseases ◽  
Open Heart ◽  
Cardiac Disorders

Introduction: Congenital cardiac disorders are the most prevalent congenital disorders which require interventional or surgical treatments. The most common causes of complete heart block (CHB) are degeneration of cardiac conduction system, acute myocardial infarction and congenital cardiac disorders. CHB after congenital heart surgery is of paramount importance which causes post-operation death and heart failure. Application of a pacemaker is a standard treatment for CHB. The purpose of this paper is to study the frequency of early postoperative CHB in patients with congenital cardiac diseases and also the need for temporary (TPM) and permanent (PPM) pacemakers. Materials and methods: This descriptive-analytical and cross-sectional study was conducted on children with congenital heart defects who had undergone open-heart surgery in Tabriz’s Shahid Madani Hospital from 2011 to 2016. Patients with early postoperative CHB were included in the study. Those who had improved on their own and those who needed TPM and PPM were identified and at the end, the frequency of CHB and the need for TPM and PPM were assessed. Results: Of the 2100 operated patients, 109 patients developed early postoperative heart block. The frequency of early CHB after open heart surgery was 5.19%. Of the 109 patients, 69 patients (63.3%) with early postoperative CHB needed TPM, 9 patients needed PPM and 22 patients improved without pacemaker. Conclusion: The prevalence of early CHB in patients operated for congenital cardiac diseases was 5.19%. The need for TPM was high and most of the patients had improved cardiac rhythm with no need for PPM or TPM.

scholarly journals Case Report: Complete heart block as a manifestation of cardiac metastasis of oral cancer

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1243
Author(s):  
Andrianto Andrianto ◽  
Eka Prasetya Budi Mulia ◽  
Denny Suwanto ◽  
Dita Aulia Rachmi ◽  
Mohammad Yogiarto
Keyword(s):  
Pericardial Effusion ◽  
Heart Block ◽  
Complete Heart Block ◽  
Tongue Cancer ◽  
Pacemaker Implantation ◽  
Metastatic Tumor ◽  
Variable Number ◽  
Permanent Pacemaker ◽  
Cardiac Metastasis ◽  
Temporary Pacemaker

Metastatic tumors of the heart presenting with complete heart block (CHB) is an extremely uncommon case. There are no available guidelines in managing CHB in terminal cancer. Permanent pacemaker implantation in such cases is a challenge in terms of clinical utility and palliative care. We report a case of a 24-year-old man suffering from tongue cancer presenting with CHB. An intracardiac mass and moderate pericardial effusion were present, presumed as the metastatic tumor of tongue cancer. We implanted a temporary pacemaker for his symptomatic heart block and cardiogenic shock, and pericardiocentesis for his massive pericardial effusion. We decided that a permanent pacemaker would not be implanted based on the low survival rate and significant comorbidities. Multiple studies report a variable number of cardiac metastasis incidence ranging from 2.3% to 18.3%. It is rare for such malignancies to present with CHB. The decision to implant a permanent pacemaker is highly specific based on the risks and benefits of each patient. It needs to be tailored to the patient’s functional status, comorbid diseases, prognosis, and response to conservative management.

Congenital complete heart block in pregnancy

2018 ◽  
Vol 35 (2) ◽  
Author(s):  
Nurul Iftida Basri ◽  
Shuhaila Ahmad
Keyword(s):  
Postpartum Period ◽  
Heart Block ◽  
Multidisciplinary Approach ◽  
Complete Heart Block ◽  
Breech Presentation ◽  
Permanent Pacemaker ◽  
External Cephalic Version ◽  
Congenital Complete Heart Block ◽  
Temporary Pacemaker ◽  
In Pregnancy

Abstract Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). We present the case of a 30-year-old, gravida 2 para 1 at the 36-week period of amenorrhea (POA) with congenital CHB. She was asymptomatic throughout her pregnancy despite having a pulse rate between 40 and 50 beats per minute. She delivered a healthy boy via cesarean section due to breech presentation after a failed external cephalic version. A temporary pacemaker was inserted prior to delivery. However, she required permanent insertion of pacemaker during the postpartum period.

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