St Francis Hospital and Medical Center, 1000 Asylum Ave., Suite 3206, Hartford, CT 06105, USA.
Europace. 2010 Jun;12(6):903-4. doi: 10.1093/europace/euq008. Epub 2010 Jan 29.
An athletic 43-year-old man presented with symptomatic bradycardia and atrial flutter after being diagnosed with HLA B27 associated spondyloarthropathy several months earlier. The patient was admitted and underwent electrophysiology evaluation with ablation of his atrial flutter and eventually underwent pacemaker implantation. His cardiac workup showed a structurally normal heart and strongly suggested that his HLA B27 associated spondyloarthropathy was responsible for his presentation. A review of the literature suggests that HLA B27 spondyloarthropathy related heart block may be an often overlooked cause of heart block in otherwise healthy patients.
一位 43 岁体格健壮的男性，几个月前被诊断为 HLA B27 相关的脊椎关节病后出现有症状的心动过缓和心房颤动。患者入院并接受电生理评估，行心房颤动消融术，最终行起搏器植入术。心脏检查显示心脏结构正常，强烈提示 HLA B27 相关的脊椎关节病是导致其发病的原因。文献复习表明，HLA B27 相关的脊椎关节病性心脏传导阻滞可能是健康人群中易被忽视的心脏传导阻滞的病因。
