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Related Experiment Videos

Mobitz type II heart block presenting as weight loss

C E Wirtz1, J Hayes

  • 1Department of General Internal Medicine at the Marshfield Clinic, WI 54449.

Wisconsin Medical Journal
|August 1, 1994
PubMed
Summary

Unexplained weight loss in elderly patients can signal serious illness. This case shows Mobitz Type II heart block causing weight loss, resolved by pacemaker implantation.

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Area of Science:

  • Cardiology
  • Geriatrics
  • Internal Medicine

Background:

  • Unexplained weight loss in the elderly is a frequent clinical problem, often indicating underlying malignancy.
  • Cardiac conditions, though less common, can also manifest as significant weight loss and systemic symptoms.

Observation:

  • A case study involving an elderly patient presenting with significant weight loss, malaise, and dyspepsia.
  • Initial investigations revealed Mobitz Type II heart block as the underlying cause, despite preserved left ventricular function.

Findings:

  • Pacemaker implantation for Mobitz Type II heart block led to a complete resolution of the patient's weight loss and associated symptoms.
  • This highlights an unusual but treatable cause of geriatric weight loss.

Implications:

  • Cardiac pacing should be considered in the differential diagnosis for unexplained weight loss in elderly individuals.
  • Early diagnosis and intervention with pacemakers can reverse debilitating symptoms and improve quality of life in affected patients.

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