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Seizures and Syncope Due to Complete Atrioventricular Block in a Patient with Acute Myocarditis with a Normal Left Ventricular Systolic Function


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Title: Seizures and Syncope Due to Complete Atrioventricular Block in a Patient with Acute Myocarditis with a Normal Left Ventricular Systolic Function
Authors: Akashi, Ryohei / Kizaki, Yoshihisa / Kawano, Hiroaki / Takahara, Yasushi / Nakao, Kojiro / Yonemitsu, Nobuhisa / Kusumoto, Saburo / Maemura, Koji
Issue Date: 1-Nov-2012
Publisher: 日本内科学会 / Japanese Society of Internal Medicine
Citation: Internal Medicine, 51(21), pp.3035-3040; 2012
Abstract: A 43-year-old man was admitted to our hospital presenting with seizures and syncope. He had a history of a cold with a fever of 39°C occurring three days earlier. Electrocardiography (ECG) showed complete atrioventricular block (AV block) with a maximum pause of 32 seconds, for which temporary pacing was performed. Echocardiography showed mild hypertrophy of the left ventricle (LV) with a normal ejection fraction of 61%. Coronary angiography showed normal coronary arteries. Then, an endomyocardial biopsy was performed, the results of which indicated a diagnosis of acute myocarditis. After admission, the complete atrioventricular block disappeared together with normalization of the LV wall thickness.
Keywords: Acute myocarditis / Adams-stokes syndrome / Right bundle branch block / Syncope
URI: http://hdl.handle.net/10069/31021
ISSN: 09182918
DOI: 10.2169/internalmedicine.51.8410
Rights: © 2012 The Japanese Society of Internal Medicine.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/31021

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