Persistent Complete Atrioventricular Block after Recovery from Acute Fulminant Myocarditis.
- Author:
Bo Min PARK
1
;
Sang Hoon SEOL
;
Seung Hyun PARK
;
Joo Won LEE
;
Dong Kie KIM
;
Ki Hun KIM
;
Doo Il KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, College of Medicine, Inje University, Busan, Korea. hacemed@hanmail.net
- Publication Type:Case Report
- Keywords:
Myocarditis;
Atrioventricular block;
Pacemaker
- MeSH:
Adult;
Atrioventricular Block;
Drug Toxicity;
Extracorporeal Membrane Oxygenation;
Hemodynamics;
Humans;
Male;
Myocarditis;
Respiration, Artificial;
Shock, Cardiogenic
- From:Korean Journal of Medicine
2012;83(5):629-632
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute myocarditis can be caused by viral, bacterial, or protozoal infection, or drug toxicity. Fulminant myocarditis progresses rapidly and frequently leads to cardiogenic shock, so patients should be supported by extracorporeal membrane oxygenation (ECMO), an intra-aortic balloon pump (IABP), mechanical ventilation, or a temporary pacemaker to maintain hemodynamic status. Most patients recover with supportive therapy. However, a few patients have persistent atrioventricular (AV) block. We report the case of a 34-year-old male with persistent complete atrioventricular block after the regression of acute myocarditis. Ultimately, a permanent pacemaker was implanted.
