Marc M O, Anconina J, Dodinot B, Perrin O, Meyer L, Selton-Suty C, Juillière Y, Danchin N, Cherrier F
Département de Cardiologie, CHU Nancy-Brabois, Vandoeuvre.
Ann Cardiol Angeiol (Paris). 1993 Jan;42(1):23-4.
Transitory disturbances of atrioventricular conduction are an usual feature of the acute phase of viral myocarditis. In contrast, the onset of complete heart block is rarer. The authors report a case of permanent heart block of progressive onset in a context of infectious mononucleosis in a 29-year-old male, requiring fitting with a permanent pacemaker. A long term follow-up visit confirmed the irreversible nature of the conduction disturbance.
房室传导的短暂紊乱是病毒性心肌炎急性期的常见特征。相比之下,完全性心脏传导阻滞的发病则较为少见。作者报告了一例29岁男性在传染性单核细胞增多症背景下逐渐发生的永久性心脏传导阻滞病例,该患者需要安装永久性起搏器。长期随访证实了传导紊乱的不可逆性。