Adhiyaman V, Oke A, Aziz K, White A D
Department of Geriatric Medicine, Wrexham Maelor Hospital, Wrexham, UK.
Int J Clin Pract. 2000 Oct;54(8):544-5.
A 68-year-old woman presented with active rheumatoid arthritis (RA) and severe extra-articular manifestations. During the course of her treatment, her electrocardiogram (ECG) transformed from normal sinus rhythm to left bundle branch block and finally to complete heart block (CHB). Investigations ruled out an ischaemic event. A permanent pacemaker was inserted due to the symptoms of heart failure and she made an uneventful recovery. CHB in RA is probably a marker of severity of the disease.
一名68岁女性因活动性类风湿关节炎（RA）并伴有严重关节外表现前来就诊。在治疗过程中，她的心电图（ECG）从正常窦性心律转变为左束支传导阻滞，最终发展为完全性心脏传导阻滞（CHB）。检查排除了缺血性事件。由于出现心力衰竭症状，植入了永久性起搏器，她恢复顺利。类风湿关节炎中的完全性心脏传导阻滞可能是疾病严重程度的一个标志。
