Argun Mustafa, Baykan Ali, Özyurt Abdullah, Pamukçu Özge, Üzüm Kazım, Narin Nazmi
Department of Pediatric Cardiology, Necip Fazıl City Hospital, Kahramanmaraş, Turkey.
Department of Pediatrics, Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey.
Turk Pediatri Ars. 2018 Sep 1;53(3):197-199. doi: 10.5152/TurkPediatriArs.2018.4014. eCollection 2018 Sep.
Various rhythm and connection disorders can be seen in the acute phase of acute rheumatic fever. First degree atrioventricular block, one of the minor signs of acute rheumatic fever, is the most common connection disturbance in this disease. Complete atrioventricular block, which seriously affects the conduction pathways, is rare in the literature. A 15-year-old boy was admitted because of syncope caused by complete atrioventricular block and a temporary pacemaker was employed because of symptomatic complete atrioventricular block. The transient pacemaker treatment was terminated due to recovery of complete atrioventricular block on the third day of antiinflammatory treatment. Acute rheumatic fever should be kept in mind as a possible cause of acquired complete atrioventricular block. Connection disturbances in acute rheumatic fever improve with antiinflammatory treatment. Transient pacemaker treatment is indicated for patients with symptomatic transient complete atrioventricular block.
在急性风湿热的急性期可见各种节律和连接障碍。一度房室传导阻滞是急性风湿热的次要体征之一，是该疾病中最常见的连接障碍。完全性房室传导阻滞严重影响传导通路，在文献中较为罕见。一名15岁男孩因完全性房室传导阻滞导致的晕厥入院，因有症状的完全性房室传导阻滞而使用了临时起搏器。在抗炎治疗的第三天，由于完全性房室传导阻滞恢复，终止了临时起搏器治疗。应将急性风湿热视为获得性完全性房室传导阻滞的可能病因。急性风湿热中的连接障碍通过抗炎治疗可得到改善。有症状的短暂性完全性房室传导阻滞患者需要进行临时起搏器治疗。
