scholarly journals Successful Restoration of Complete Heart Block to Normal Sinus Rhythm by Primary Angioplasty of Dual Left Anterior Descending Artery

2017 ◽  
Vol 8 (2) ◽  
pp. 73-76
Author(s):  
Santosh Kumar Sinha ◽  
Vikas Mishra ◽  
Mukesh Jitendra Jha ◽  
Mahmadula Razi ◽  
Nasar Abdali ◽  
...  
Keyword(s):  
Sinus Rhythm ◽  
Heart Block ◽  
Complete Heart Block ◽  
Normal Sinus Rhythm ◽  
Primary Angioplasty ◽  
Left Anterior Descending Artery ◽  
Normal Sinus

scholarly journals Transient Congenital Complete Heart Block: A Case Report

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 790
Author(s):  
Ying-Tzu Ju ◽  
Yu-Jen Wei ◽  
Ming-Ling Hsieh ◽  
Jieh-Neng Wang ◽  
Jing-Ming Wu
Keyword(s):  
Heart Block ◽  
Rare Case ◽  
Complete Heart Block ◽  
Normal Sinus Rhythm ◽  
Structural Heart Disease ◽  
Normal Heart ◽  
Complete Atrioventricular Block ◽  
Normal Sinus ◽  
Congenital Complete Heart Block ◽  
Complete Atrioventricular

Congenital complete heart block is defined as a complete atrioventricular block occurring prenatally, at birth, or within the first month of life. Congenital complete heart block has a high mortality rate, and in infants with normal heart morphology, it is often associated with maternal connective tissue disease. In these latter cases, neonatal congenital complete heart block is usually irreversible. We present a rare case of a female neonate who had bradycardia noted at a gestational age of 37 weeks. Her mother had no autoimmune disease history. She had no structural heart disease, and the serology surveys for autoantibodies including SSA/Ro and SSB/La were all negative. Without intervention or medication, her congenital complete heart block completely recovered to a normal sinus rhythm within 5 days. The cause of the transient congenital complete heart block was unknown in this case.

scholarly journals Lyme carditis presenting as atrial fibrillation in a healthy young male

2019 ◽  
Vol 12 (6) ◽  
pp. e229261 ◽  
Author(s):  
Muhammad Asim Shabbir ◽  
Muhammad Hamza Saad Shaukat ◽  
Muhammad Hashaam Arshad ◽  
Joseph Sacco
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Heart Block ◽  
Normal Sinus Rhythm ◽  
Young Male ◽  
Rare Presentation ◽  
Normal Sinus ◽  
Lyme Carditis ◽  
Appropriate Treatment ◽  
High Degree

We present a case of a 23-year-old man coming with palpitations, found to be in atrial fibrillation (AF). He was initially managed with metoprolol for rate-controlled therapy—reverted to normal sinus rhythm and discharged home. He returned a few days later—this time in varying degrees of atrioventricular block including transient complete heart block. He was empirically started on intravenous ceftriaxone for suspected Lyme carditis, which subsequently led to the resolution of high-degree heart block. Lyme immunoglobulin G (IgG) and IgM returned positive. Follow-up ECG after the course of antibiotic exhibited normal sinus rhythm. AF is a rare presentation of Lyme disease but still exists. It should be considered in terms of appropriate treatment, especially in Lyme-endemic areas.

scholarly journals A Large Intrathoracic Hiatal Hernia as a Cause of Complete Heart Block

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Ali Abbood ◽  
Hareer Al Salihi ◽  
Jorge Parellada ◽  
Mario Madruga ◽  
S. J. Carlan
Keyword(s):  
Abdominal Pain ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Heart Block ◽  
Surgical Repair ◽  
Complete Heart Block ◽  
Normal Sinus Rhythm ◽  
Normal Sinus ◽  
Ventricular Response ◽  
The One

Hiatal hernia is a not uncommon anatomic disorder resulting in portions of the bowel occupying space in the thoracic cavity. There are a number of antecedent risk factors including obesity but not hiatal hernias resulting in symptoms. When symptoms do occur, they can include chest pain, nausea, abdominal pain, and gastroesophageal reflux. Cardiac arrhythmias have also been reported as associated conditions resulting from a hiatal hernia. To date, however, a complete heart block secondary to a hiatal hernia has not been reported. An 88-year-old female with a history of GERD (gastroesophageal reflux disease) was found to have a large hiatal hernia at endoscopy after she presented to the emergency department with nausea and abdominal pain. Prior to her scheduled surgical repair, she developed symptomatic third degree heart block which resolved with nasogastric tube deflation of the gastric contents. After surgical repair of the hiatal hernia, she developed episodes of atrial fibrillation with rapid ventricular response and was started on diltiazem. She eventually converted back to normal sinus rhythm and remained dysrhythmia free. In addition to other known arrhythmias associated with hiatal hernia, a complete heart block can also be seen. Acute management requires deflation of the chest occupying hernia. This appears to be the one of the first reported cases of complete heart block caused by hiatal hernia.

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