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Complete heart block and severe aortic stenosis in a patient with rheumatoid arthtritis: a case report
Ioannis Moyssakis1, Nikolaos Lionakis, Ioannis Vlahodimitris
1Laiko General Hospital of Athens, Department of Cardiology, 17 Agiou Thomas St, GR-15727 Goudi-Athens, Greece. nik_lion@yahoo.com.
Background:
A 77-year-old male patient with a history of rheumatoid arthritis was admitted to our hospital for investigation of syncope and dyspnea on exertion class II according to NYHA class association.
Case Presentation:
The electrocardiogram revealed complete heart block whereas the echocardiogram showed severe aortic valve stenosis with a peak gradient = 80 mmHg. A permanent pacemaker was implanted in addition to aortic valve replacement. The coexistence of complete heart block and severe aortic stenosis with rheumatoid arthritis are presented.
Conclusion:
Further studies are necessary to assess whether a true association of the above conditions exist.
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