Innovative Journal of Pediatrics
The Scientific Journal of Growth & Development Research Center
e-ISSN 3117-5341
Image Credit:Inn J Pediatr
Outline
Third-Degree Heart Block in Thalassemia major: A Case Report
Authors
1Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran
2Department of Pediatrics, Golestan University of Medical Sciences, Gorgan, Iran
3Department of Physiology, Golestan University of Medical Sciences, Gorgan, Iran
*Corresponding Author: Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran Email: ali.r.maleki@gmail.com
Published online:Jun 30, 2012
Article type:Case Report
Received:Dec 13, 2010
Accepted:Oct 07, 2011
How to Cite:Maleki AR, Nikyar B, Hosseini SM. Third-Degree Heart Block in Thalassemia major: A Case Report. Inn J Pediatr. 2015;22(2):. doi:
Abstract
Background: First and second-degree heart blocks are partly common rhythm disorders in thalassemic patients but complete heart block is a very rare complication of iron overload cardiomyopathy.
Case Presentation: This 15-year-old boy, a known case of major β-thalassemia was admitted to our emergency unit with dyspnea and cough because of decompensated heart failure. The electrocardiogram showed complete heart block with junctional escape rhythm. Interestingly, his previous electrocardiogram taken 2 months earlier, had some PVC and second degree, Mobitz type 1 (Wenckebach) heart block. After improvement of dyspnea and control of blood pressure in normal range, the patient was referred to ER. A dual-chamber permanent pacemaker was implanted and his symptoms improved, but he died 24 days after discharge from hospital.
Conclusion: We present a rare case of complete heart block after a second-degree (Mobitz 1) heart block that was due to severe iron overload cardiomyopathy.
Highlights
References
- 1.References are available in PDF.
Copyright
© 2015, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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