Rheumatic Complete Atrioventricular Block: A Case Report

authors:

avatar Saousan Serbout 1 , * , avatar Hamza Choukrallah 1 , avatar Leila Azzouzi 1 , avatar Abdenasser Drighil 1 , avatar Rachida Habbal 1

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

how to cite: Serbout S , Choukrallah H, Azzouzi L, Drighil A, Habbal R. Rheumatic Complete Atrioventricular Block: A Case Report. Int J Cardio Pract. 2020;5(1):e131486. doi: 10.5812/ijcp-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.

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© 2020, Cardiovascular Research Center of Shahid Beheshti University of Medicl Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.