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[Total atriventricular block in recurrent rheumatic fever].

A Campana, L Cappuccio, M De Santis

    Giornale Italiano Di Cardiologia
    |January 1, 1986
    PubMed
    Summary

    Complete heart block, a rare complication of acute rheumatic fever, occurred in a young woman during a rheumatic relapse. This case highlights the need for cardiac pacing in severe rheumatic heart disease.

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    Area of Science:

    • Cardiology
    • Rheumatology
    • Electrophysiology

    Background:

    • Acute rheumatic fever (ARF) is an inflammatory disease following streptococcal infection.
    • Cardiac involvement is common in ARF, but complete heart block (CHB) is exceptionally rare.
    • Rheumatic relapse can present with varied cardiac manifestations.

    Observation:

    • A young woman experienced a rheumatic relapse.
    • She developed complete heart block (CHB) during the relapse.
    • The CHB necessitated medical intervention.

    Findings:

    • Complete heart block is a rare but serious complication of acute rheumatic fever.
    • Rheumatic relapse can precipitate severe cardiac events like CHB.
    • The case required both temporary and permanent cardiac pacing.

    Implications:

    • This case underscores the importance of vigilant cardiac monitoring in patients with rheumatic fever, especially during relapses.
    • It highlights the potential for CHB in ARF and the role of cardiac stimulation.
    • Further research may elucidate the mechanisms linking rheumatic activity to conduction disturbances.

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