Complete atrioventricular block persisting after regression of infectious myocarditis

J Electrocardiol. 2008 Nov-Dec;41(6):665-7. doi: 10.1016/j.jelectrocard.2008.07.001. Epub 2008 Aug 23.

Abstract

Atrioventricular block is usually transient during the course of infectious myocarditis. We report the case of a patient presenting with complete infra-hisian atrioventricular block occurring in the setting of infectious myocarditis and in whom a pacemaker should be finally implanted. Borderline serologies for picornavirus were present 6 weeks later. Complete atrioventricular block persisted during the two years of follow-up despite otherwise complete regression of the myocarditis. We then discuss the main features of conduction disturbances complicating infectious myocarditis, including a list as complete as possible of all the causal agents possibly involved.

Publication types

  • Case Reports

MeSH terms

  • Atrioventricular Block / diagnosis
  • Atrioventricular Block / etiology*
  • Atrioventricular Block / prevention & control*
  • Chronic Disease
  • Electrocardiography / methods
  • Female
  • Humans
  • Middle Aged
  • Myocarditis / complications*
  • Myocarditis / diagnosis
  • Myocarditis / therapy*