Rossen R M, Goodman D J, Harrison D C
Am J Med. 1975 Feb;58(2):280-4. doi: 10.1016/0002-9343(75)90578-1.
High grade atrioventricular (A-V) block is a rarely described complication of Reiter's syndrome. This 65 year old man had recurrent episodes of arthritis, conjunctivitis and urethritis beginning at age 16. A prolonged P-R interval was first noted at age 32. The conduction distrubance progressed to intermittent episodes of high grade and complete heart block by age 65. His bundle electrograms located the site of block above the level of the bundle of His. Atrial pacing to rates of 150/min produced 5:1 A-V block, whereas exercise and atropine administration resulted in 1:1 A-V conduction. In view of these results, artificial pacemaker therapy is not indicated. The association of conduction disorders and Reiter's syndrome is reviewed.
高度房室传导阻滞是赖特综合征一种鲜有描述的并发症。这位65岁男性自16岁起就反复出现关节炎、结膜炎和尿道炎发作。32岁时首次发现P-R间期延长。到65岁时，传导障碍进展为间歇性高度和完全性心脏传导阻滞。他的希氏束电图显示阻滞部位在希氏束水平之上。心房起搏频率达150次/分钟时出现5:1房室传导阻滞，而运动和使用阿托品则导致1:1房室传导。鉴于这些结果，不建议进行人工起搏器治疗。本文对传导障碍与赖特综合征的关联进行了综述。
