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International Cardiovascular Research Journal
The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences
Outlines
Complete Heart Block due to Limited Wegener’s Granulomatosis: A Case Report
Author(s):
1Department of Internal medicine, Booali General Hospital, Islamic Azad University, Tehran Medical Branch, Tehran, Iran
2Department of Rheumatology, Firouzgar General Hospital, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Author: Corresponding author: Mozhdeh Zabihiyeganeh, Department of Rheumatology, Firouzgar General Hospital, Tehran University of Medical Sciences, Tehran, Iran Email: [email protected]
Published online:Mar 31, 2011
Article type:Case Report
Received:May 31, 2017
Accepted:Feb 22, 2011
How to Cite:Jahed S, Zabihiyeganeh M. Complete Heart Block due to Limited Wegener’s Granulomatosis: A Case Report. Int Cardiovasc Res J. 2017;5(1):e14236. doi:
Abstract
Complete heart block is a rare manifestation of various cardiac involvements seen in Wegener’s granulomatosis. To our knowledge there have only been two previous cases of complete heart block reported in patients with limited form of Wegener’s granulomatosis in English literature. We describe a 62-year-old Iranian woman presenting with complete heart block who was candidate for pacemaker insertion. Limited Wegener’s granulomatosis was suspected because of bloody nasal discharge, fatigue, fever, arthralgia, dacrocystitis, and history of recurrent subglutic stenosis, but no renal involvement. The diagnosis was subsequently confirmed by presence of granuloma in nasal mucosal biopsy and also high level of serum anti-proteinase 3. Prednisolone and cyclophosphamide therapy was started and her electrocardiography returned to normal sinus rhythm. Awareness of unusual presentation of Wegener’s granulomatosis is important for proper diagnosis and management of the potentially fatal cardiac involvement of the disease. Complete heart block may be reversed by appropriate medical therapy of Wegener’s granulomatosis.
References
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Copyright
© 2017, 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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