Atrioventricular dissociation in acute rheumatic fever.

Cristal, N; Stern, J; Gueron, M

doi:10.1136/hrt.33.1.12

Cited by 29 publications

(41 citation statements)

References 13 publications

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“…Cristal et al ., also reported three patients with ARF having AV block of advanced degree. [4] Though it is a manifestation of cardiac involvement, it was not consistently associated with valvulitis. While valvulitis usually results in damage to the heart leaflets with irreversible structural changes, advanced heart block appears to represent involvement of the conduction pathways in a reversible fashion.…”

Section: Discussionmentioning

confidence: 99%

Syncope in a child

Datta

2013

Ann Pediatr Card

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Acute rheumatic fever (ARF) is a well-characterized illness. However, syncope in ARF due to advanced heart block is very rare. A 10-year-old boy was admitted with recurrent syncope for 12 h. The patient was diagnosed as ARF because of arthritis, elevated acute phase reactants, advanced heart block, high antistreptolysin O titer, and echocardiographic evidence of mitral regurgitation. On the 9th day of hospitalization, the electrocardiogram revealed normal sinus rhythm.

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Section: Discussionmentioning

confidence: 99%

Syncope in a child

Datta

2013

Ann Pediatr Card

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“…In addition to first degree AV block in acute rheumatic fever associated arrhythmias (11) and advanced AV blocks (12,13) are usually self limiting and concomitant valvulitis is rarely associated. The course of complete heart block in acute rheumatic fever may resort to second degree AV block before restoring to normal sinus rhythm (14).…”

Section: Discussionmentioning

confidence: 99%

Transient Type1 Second Degree AV Block in Acute Rheumatic Fever

et al. 2012

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A 14 years male presented with fever and migratory polyarthritis. Investigations revealed second degree AV block of Mobitz type 1 on ECG, leucocytosis, normal ESR, ASO titer and echocardiography. ASO titer repeated on 4 th day of admission was high. A diagnosis of acute rheumatic fever was established by using World Health Organization criteria. The second degree Atrioventricular (AV) block reverted back to normal sinus rhythm on day nine. In developing nations where acute rheumatic fever remains endemic second degree AV block of Mobitz type 1 in teenagers should prompt to the diagnosis of acute rheumatic fever even if supporting evidence of streptococcal infection is absent initially.

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“…Cristal et al9) reported in 70 patients with RF that although atrioventricular block of an advanced degree is a manifestation of cardiac involvement, it was not noted consistently to be associated with valvulitis. While valvulitis usually results in damage to the heart leaflets with irreversible structural changes of the heart, advanced heart block appears to represent involvement of the conduction pathways in a reversible fashion 4)…”

Section: Discussionmentioning

confidence: 99%

Complete Atrioventricular Block in an Adolescent With Rheumatic Fever

Yoo

2009

Korean Circ J

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Rheumatic fever is an acute inflammatory sequela following a group A, β-hemolytic streptococcal infection. Rheumatic fever is characterized by polyarthritis, carditis, chorea, subcutaneous nodules, and erythema marginatum as the major diagnostic criteria. Rarely, advanced heart block may also occur. A 13-year-old boy was admitted to the Pediatric Department for evaluation and management of complete atrioventricular block. The patient had exertional dyspnea for 1 month. Based on the findings of mitral regurgitation, fever, elevated acute phase reactants, and a high antistreptolysin O titer, the patient was diagnosed with rheumatic fever. A benzathine penicillin injection was administered, as well as salicylate therapy. On the 5th day of hospitalization, the electrocardiogram revealed a normal sinus rhythm with a 1st degree atrioventricular block. After discharge, the electrocardiogram normalized with the monthly penicillin injections. Herein we report a case of complete atrioventricular block associated with rheumatic fever. The heart block resolved without specific cardiac treatment, other than a non-steroidal anti-inflammatory medication.

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Atrioventricular dissociation in acute rheumatic fever.

Cited by 29 publications

References 13 publications

Syncope in a child

Syncope in a child

Transient Type1 Second Degree AV Block in Acute Rheumatic Fever

Complete Atrioventricular Block in an Adolescent With Rheumatic Fever

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