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[Pulmonary embolism and complete atrioventricular block].

J J N'Djessan1, H Yao1, A Ekou1

  • 1Institut de cardiologie d'Abidjan, 01 BP V, 206 Abidjan, Côte d'Ivoire.

Journal De Medecine Vasculaire
|December 8, 2018
PubMed
Summary

Complete atrioventricular block, a rare complication of pulmonary embolism, was observed in a Sub-Saharan African patient. This case highlights the need for vigilant monitoring in pulmonary embolism cases.

Keywords:
Bloc auriculoventriculaire completComplete atrioventricular blockEmbolie pulmonairePulmonary embolism

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Area of Science:

  • Cardiology
  • Pulmonology
  • Medical Case Reports

Background:

  • Pulmonary embolism (PE) is a significant cause of morbidity and mortality.
  • Complete atrioventricular block (CAVB) is an uncommon complication of PE.
  • Early diagnosis and management of PE are crucial.

Observation:

  • A 42-year-old black African patient presented with sudden dyspnea and hemoptysis.
  • Electrocardiogram (ECG) revealed a third-degree atrioventricular block.
  • Computed tomographic angiography confirmed proximal pulmonary embolism in the right main pulmonary artery.

Findings:

  • This report details the first documented case of CAVB secondary to PE in Sub-Saharan Africa.
  • The patient's presentation underscores the potential for severe cardiac complications in PE.
  • The case emphasizes the diagnostic utility of ECG and CT angiography in PE management.

Implications:

  • Clinical and electrocardiographic monitoring are essential for patients with suspected or confirmed PE.
  • Recognizing CAVB as a potential complication can lead to timely intervention.
  • This case broadens the understanding of PE's diverse clinical manifestations, particularly in underrepresented geographic regions.