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[Systemic sclerosis complicated with syncope and complete AV block].

Francisco Femenía¹, Mauricio Arce, Martín Arrieta

¹Departamento de Cardiología, Hospital Español de Mendoza, Mendoza, Argentina. femeniafavier@hotmail.com

|October 6, 2010

Summary

Systemic sclerosis can cause heart rhythm problems. A rare case of complete atrioventricular block in a systemic sclerosis patient highlights the need for cardiac monitoring.

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Area of Science:

Cardiology
Rheumatology
Immunology

Background:

Systemic sclerosis (SSc) is an autoimmune disease characterized by fibrosis of skin and organs.
Cardiac involvement, including conduction abnormalities like bundle branch blocks, is common in SSc.
Complete atrioventricular block is a rare but serious cardiac manifestation of SSc.

Observation:

A 47-year-old female with diagnosed systemic sclerosis presented with syncope.
The syncope was attributed to a complete atrioventricular block.
This rare cardiac event necessitated permanent pacemaker implantation.

Findings:

The case demonstrates a rare occurrence of complete atrioventricular block in a patient with systemic sclerosis.
This finding underscores the potential for severe cardiac conduction disturbances in SSc.
Complete atrioventricular block, though infrequent, can be a critical complication.

Implications:

Early recognition and monitoring of cardiac conduction abnormalities in SSc patients are crucial.
This case emphasizes the importance of considering rare cardiac complications in systemic sclerosis.
Prompt intervention, such as pacemaker implantation, can be life-saving in managing severe bradyarrhythmias in SSc.