Rheumatic Complete Atrioventricular Block: A Case Report

Saousan Serbout; Hamza Choukrallah; Leila Azzouzi; Abdenasser Drighil; Rachida Habbal

doi:10.5812/intjcardiovascpract-131486

International Journal of Cardiovascular Practice

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Image Credit:Int J Cardiovasc Pract

https://doi.org/10.5812/intjcardiovascpract-131486

Rheumatic Complete Atrioventricular Block: A Case Report

Author(s):

Saousan Serbout^1,*,

Hamza Choukrallah¹,

Leila Azzouzi¹,

Abdenasser Drighil¹,

Rachida Habbal¹

1Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco

International Journal of Cardiovascular Practice:Vol. 5, issue 1; e131486

Published online:Jun 15, 2021

Article type:Case Report

Received:Jan 30, 2020

Accepted:Mar 01, 2020

How to Cite:Saousan SerboutHamza ChoukrallahLeila AzzouziAbdenasser DrighilRachida HabbalRheumatic Complete Atrioventricular Block: A Case Report.Int J Cardiovasc Pract.2021;5(1):e131486.https://doi.org/10.5812/intjcardiovascpract-131486.

Abstract

Acute rheumatic fever is a well-known disease that is still widely observed in developing countries, including our country Morocco. It is known that the majority of patients diagnosed with acute rheumatic fever display abnormalities of the conduction system; However, there are only a few case reports that describe severe impairment in the electrical conduction system. We describe a 21-year-old man who was diagnosed with acute rheumatic fever with complete atrioventricular block. In our patient, the diagnosis of acute rheumatic fever was established. 24-hour electrocardiography showed a paroxistic complete atrioventricular block. Penicillin prophylaxis was made, and salicylate treatment in an anti-inflammatory dose was initiated. The electrocardiographic abnormalities of the patient disappeared. Although rare, this diagnosis should be considered in patients with complete heart block, particularly when it is associated with other features of acute rheumatic fever. Conduction disorders associated with acute rheumatic fever often resolve following appropriate treatment without the need for permanent pacemaker placement.

Keywords

Acute Rheumatic Fever

Complete Atrioventricular Block

Salicylate

Block

24-hour Electrocardiography

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Author(s):

Saousan Serbout:[PubMed][Scholar]
Hamza Choukrallah:[PubMed][Scholar]
Leila Azzouzi:[PubMed][Scholar]
Abdenasser Drighil:[PubMed][Scholar]
Rachida Habbal:[PubMed][Scholar]