Maadarani Ossama, Bigdelu Leila, Bitar Zouheir, Alhabibi Mohammad, Kabbara Hosni
Critical Care Unit, Internal Medical Department, Ahmadi Hospital-Kuwait Oil Company, Kuwait.
Cardiovascular Medicine Division, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Eur J Case Rep Intern Med. 2023 Aug 9;10(9):004012. doi: 10.12890/2023_004012. eCollection 2023.
Cardiac conduction disorder may have a wide range of aetiology and can manifest with symptomatic bradycardia and syncope. Celiac disease is a malabsorptive long-term autoimmune disorder where the small intestine is the primarily affected organ due to gluten intolerance in genetically predisposed individuals. The associations between celiac disease and cardiac pathology are uncommon. We report a case of a 50-year-old woman with a known case of celiac disease who presented with a symptomatic cardiac conduction abnormality that improved with a gluten-free diet.
Celiac disease is a malabsorptive long-term autoimmune disorder where the small intestine is the primarily affected organ due to gluten intolerance and affects 1% of the general population.Cardiovascular pathology, including dilated cardiomyopathy, myocarditis, arrhythmias, and premature atherosclerosis, was found to be more prevalent in patients with celiac disease than in others without celiac disease.The association of celiac disease with isolated advanced atrioventricular conduction abnormality is rare and a gluten-free diet may help improve the conduction abnormality.
心脏传导障碍可能有多种病因，可表现为有症状的心动过缓和晕厥。乳糜泻是一种吸收不良的长期自身免疫性疾病，在有遗传易感性的个体中，由于对麸质不耐受，小肠是主要受影响的器官。乳糜泻与心脏病理之间的关联并不常见。我们报告一例50岁女性，已知患有乳糜泻，出现有症状的心脏传导异常，采用无麸质饮食后病情改善。
乳糜泻是一种吸收不良的长期自身免疫性疾病，由于对麸质不耐受，小肠是主要受影响的器官，在普通人群中的发病率为1%。发现心血管病理情况，包括扩张型心肌病、心肌炎、心律失常和过早动脉粥样硬化，在乳糜泻患者中比在无乳糜泻的其他人中更普遍。乳糜泻与孤立的严重房室传导异常的关联很少见，无麸质饮食可能有助于改善传导异常。
