Fernandez Hazim Carol, Shaban Mohammed, Cordero Dessiree, Urena Neme Ana P, Rodriguez Guerra Miguel A
Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA.
Internal Medicine, BronxCare Hospital Center, Icahn School of Medicine at Mt. Sinai, New York, USA.
Cureus. 2023 Oct 4;15(10):e46498. doi: 10.7759/cureus.46498. eCollection 2023 Oct.
Acquired complete heart block is a rare but severe arrhythmia caused by various factors such as infections, medications, and autoimmune conditions. Atrial septal defect (ASD) is a common congenital heart defect, with larger ASDs possibly causing symptoms such as fatigue, shortness of breath, and frequent respiratory infections. In some cases, high-grade atrioventricular block with ASD can occur; however, the exact incidence is not well established. We report a rare case of a 15-year-old male presenting with acute dizziness. Initial electrocardiogram (EKG) showed a complete heart block with a Crochetage sign. Patent foramen ovale (PFO) was confirmed by transthoracic and transesophageal echocardiograms. Closure of PFO and permanent pacemaker resulted in complete resolutions of symptoms and disappearance of Crochetage sign.
获得性完全性心脏传导阻滞是一种罕见但严重的心律失常，由感染、药物和自身免疫性疾病等多种因素引起。房间隔缺损（ASD）是一种常见的先天性心脏缺陷，较大的ASD可能导致疲劳、呼吸急促和频繁呼吸道感染等症状。在某些情况下，可能会出现伴有ASD的高度房室传导阻滞；然而，确切发病率尚不清楚。我们报告一例罕见的15岁男性急性头晕病例。初始心电图（EKG）显示完全性心脏传导阻滞伴钩编征。经胸和经食管超声心动图证实卵圆孔未闭（PFO）。PFO封堵和植入永久性起搏器使症状完全缓解，钩编征消失。
