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A Rare Case of Complete Heart Block in a Young Patient
Joint Authors
Yousef, Hindi
Hindi, Zakaria
Batarseh, Rami
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Complete heart block (CHB) is considered as one of the dangerous rhythms since it can progress to lethal arrhythmias such as ventricular tachycardia.
It can be congenital or acquired.
Patients may present with frequent palpitations, presyncope, dyspnea, or chest pain but also may remain asymptomatic.
Extensive work-up should be conducted to exclude secondary causes such as infections, cardiac ischemia or myopathies, autoimmune diseases, or endocrinological diseases.
In our paper, we would like to present a case of CHB in the setting of aortic abdominal thrombus that nearly occluded both renal arteries.
The CHB in this case is thought to be caused by hypertensive cardiomyopathy due to ongoing uncontrolled hypertension, which is caused by bilateral renal artery stenosis.
Case Presentation.
A 31-year-old male with history of active smoking was incidentally found to have high blood pressure, bradycardia, and CHB on electrocardiogram.
The patient was admitted to a cardiology ward and extensive work-up revealed hypokinesia of the left ventricle with low ejection fraction and left ventricle concentric hypertrophy, large abdominal aortic thrombus with bilateral renal artery stenosis, and evidence of arterial collateral connections, which suggest chronicity.
The patient then was placed on four antihypertensive medications but eventually, he underwent bilateral renal artery stenting and insertion of permanent pacemaker for his CHB.
The patient’s blood pressure then was under control with only one medication, and subsequent CT angiogram showed no evidence of stenosis of both renal arteries.
Conclusion.
Uncontrolled hypertension can lead to hypertensive cardiomyopathy, which in turn can cause conduction abnormalities such as CHB.
Although hypertension can be secondary to a treatable underlying cause, permanent pacemaker is essential to treat CHB.
American Psychological Association (APA)
Hindi, Zakaria& Yousef, Hindi& Batarseh, Rami. 2018. A Rare Case of Complete Heart Block in a Young Patient. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1137186
Modern Language Association (MLA)
Hindi, Zakaria…[et al.]. A Rare Case of Complete Heart Block in a Young Patient. Case Reports in Cardiology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1137186
American Medical Association (AMA)
Hindi, Zakaria& Yousef, Hindi& Batarseh, Rami. A Rare Case of Complete Heart Block in a Young Patient. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1137186
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137186