ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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Complete atrioventricular block in a patient with rheumatoid arthritis [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2008; 36(4): 263-265

Complete atrioventricular block in a patient with rheumatoid arthritis

Mustafa Özgül1, Yeşim Hoşcan2, Çağatay Arslan3, Mustafa Karabacak4
1Clinic of Cardiology, Türkiye Yüksek Ihtisas Training and Research Hospital, Van, Turkey
2Deparment of Cardiology, Baskent University, Alanya, Turkey
3Clinic of Internal Medicine, Isparta Hospital, Isparta, Turkey
4Department of Cardiology, Suleyman Demirel University, Isparta, Turkey

Atrioventricular (AV) block is rare in patients with rheumatoid arthritis (RA), but it is usually of complete type. A 55-year-old woman had complaints of fatigue, dizziness, and light-headedness, all of a week history. She had been receiving treatment for RA for about six years, and had been on methylprednisolone 5 mg/day for a year. On physical examination, her heart rate was 32 bpm, blood pressure was 160/80 mmHg. She had a grade 1-2/6 apical systolic ejection murmur. The electrocardiogram showed complete AV block. Transthoracic echocardiography showed grade I mitral regurgitation. No rheumatoid nodule was noted on transesophageal echocardiography. Coronary arteries appeared normal on coronary angiography. A temporary pacemaker was implanted in the coronary care unit, after which complete AV block improved to a second-degree Mobitz type II block. Her heart rate was 45 bpm. As no further improvement was observed in the AV block during a 10-day monitoring, she underwent DDD-R permanent pacemaker implantation.

Keywords: Arthritis, rheumatoid/complications, electrocardiography, heart block/etiology; pacemaker, artificial.

How to cite this article
Mustafa Özgül, Yeşim Hoşcan, Çağatay Arslan, Mustafa Karabacak. Complete atrioventricular block in a patient with rheumatoid arthritis. Turk Kardiyol Dern Ars. 2008; 36(4): 263-265

Corresponding Author: Mustafa Özgül, Türkiye
Manuscript Language: Turkish


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