Back to Search
Start Over
An unusual cause of a complete heart block in a young healthy man!
- Source :
- The Pan African Medical Journal, Vol 37, Iss 391 (2020)
- Publication Year :
- 2020
- Publisher :
- The Pan African Medical Journal, 2020.
-
Abstract
- Acute myocarditis represents a challenging diagnosis as there is no pathognomonic clinical presentation. It is rare to see heart block as the first-and-only presentation of infectious myocarditis. We report the case of a young healthy patient who presented with syncope secondary to a complete heart block. It was caused by acute presumed viral myocarditis. The diagnosis was confirmed with cardiac magnetic resonance imaging. With close monitoring, the EKG abnormalities resolved over the following 5 days. In this case report, we present the importance of several imaging tools to diagnose a rare and reversible cause of conduction disturbances. In at-risk individuals, clinicians should rule out a treatable cause of heart block before proceeding with permanent pacemaker implantation due to enormous clinical and cost implications involved.
- Subjects :
- myocarditis
heart-block
high degree atrioventricular block
Medicine
Subjects
Details
- Language :
- English, French
- ISSN :
- 19378688
- Volume :
- 37
- Issue :
- 391
- Database :
- Directory of Open Access Journals
- Journal :
- The Pan African Medical Journal
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.7db8c7f791b4d1ea5e5600f67e7c6a6
- Document Type :
- article
- Full Text :
- https://doi.org/10.11604/pamj.2020.37.391.25927