Syncope Due to Paroxysmal Atrioventricular Block in a Patient With Systemic Sclerosis: A Case Report

被引：4
|
作者：
Oe, Kotaro [1 ]
Mori, Kiyoo [1 ]
Gommori, Satoshi [1 ]
Konno, Tetsuo [2 ]
Fujino, Noboru [2 ]
Yamagishi, Masakazu [2 ]
机构：
[1] Houju Mem Hosp, Div Internal Med, Nomi 9231226, Japan
[2] Kanazawa Univ, Grad Sch Med, Div Cardiovasc Med, Kanazawa, Ishikawa, Japan
来源：
ANGIOLOGY | 2008年 / 59卷 / 06期
关键词：
syncope; paroxysmal atrioventricular block; systemic sclerosis; electrophysiological study;
D O I：
10.1177/0003319707307216
中图分类号：
R6 [外科学];
学科分类号：
1002 ; 100210 ;
摘要：
A 79-year-old woman with systemic sclerosis was admitted to our hospital because of syncope. On admission, electrocardiogram showed progression of intraventricular conduction defect. Chest radiograph showed marked cardiomegaly Echocardiogram revealed deterioration of left ventricular systolic function. We suspected progressive myocardial disease with Stokes-Adams attack. When we were preparing a temporary pacemaker, paroxysmal atrioventricular block with asystole for 15 seconds and convulsion occurred. Electrophysiological study showed His-ventricular block and sinus node dysfunction. A permanent pacemaker was implanted. In systemic sclerosis, progression of ventricular conduction defect may warrant prompt electrophysiological study and prophylactic pacemaker implantation.
引用
收藏
页码：769 / 771
页数：3
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