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Permanent Pacemaker Timing Dilemma in Recovered Lymphocytic Myocarditis
Keita Tashiro1, Takeshi Kashimura1, Ryohei Sakai1
1Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
JACC. Case Reports
|December 3, 2025
Summary
Pacemaker implantation timing in myocarditis is difficult due to unclear conduction system recovery. This case shows cardiac function can normalize while complete atrioventricular block persists, complicating decisions.
Area of Science:
- Cardiology
- Electrophysiology
- Myocardial Diseases
Background:
- Myocarditis can cause complete heart block, posing challenges for pacemaker implantation timing.
- Lack of established criteria for conduction system reversibility complicates clinical decisions.
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