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Spontaneous Remission of Congenital Complete Atrioventricular Block in Anti-Ro/La Antibody-Negative Monozygotic Twins: Case Report
- Source :
- Balkan Medical Journal, Volume: 34, Issue: 1 71-73, Balkan Medical Journal, Vol 34, Iss 1, Pp 71-73 (2017)
- Publication Year :
- 2015
-
Abstract
- Background: Congenital complete atrioventricular block without any structural heart disease and anti-Ro/La negativity is very rare. Discordant complete atrioventricular block, which is more frequently defined in the literature as an autoimmune mechanism, is much more rare in monozygotic twins. Case Report: The 26-year-old healthy mother had given birth in her first spontaneous, uneventful pregnancy to monozygotic twins at week 35. While the first twin’s physical examination proved her to be normal with a pulse rate consistent with her age, the second twin had a pulse rate of approximately 40 beats/minute.The patient was confirmed to have congenital complete atrioventricular block. Conclusion: Despite this case appears to be an isolated one, a discordant complete atrioventricular block regression without any autoimmune evidence should be included in the differential diagnosis of bradycardia in infants.
- Subjects :
- Bradycardia
Pediatrics
medicine.medical_specialty
Heart disease
Remission, Spontaneous
lcsh:Medicine
Physical examination
Spontaneous remission
Case Report
discordant complete atrioventricular block
Medicine
Humans
Atrioventricular Block
Pregnancy
medicine.diagnostic_test
congenital heart block
business.industry
infants
lcsh:R
Infant, Newborn
Anti-Ro/La antibody
General Medicine
Twins, Monozygotic
medicine.disease
Antibodies, Antinuclear
Anti-Ro/La antibody,congenital heart block,discordant complete atrioventricular block,infants
cardiovascular system
Female
Differential diagnosis
medicine.symptom
business
Atrioventricular block
Anti-SSA/Ro autoantibodies
Subjects
Details
- ISSN :
- 21463131 and 21463123
- Volume :
- 34
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Balkan medical journal
- Accession number :
- edsair.doi.dedup.....95aebeb5ef0042dc61f3dbf47aa64ec9