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Kardiologia Polska (Polish Heart Journal)
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Vol 64, No 6 (2006)
Other
Published online: 2006-06-27
Submitted: 2012-12-28
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Case reports
Complete heart block due to Wegener’s granulomatosis: a case report and literature review

Waldemar Elikowski, Artur Baszko, Mariusz Puszczewicz, Ewa Stachura
Kardiol Pol 2006;64(6):622-627.

open access

Vol 64, No 6 (2006)
Other
Published online: 2006-06-27
Submitted: 2012-12-28

Abstract

Involvement of the conduction system of the heart in Wegener’s granulomatosis (WG) is rare. We present a 53-year-old man with WG pulmonary, renal and left eyeball involvement and with a high initial level of cANCA (1: 640). He was treated with steroids, cyclophosphamide and cyclosporine. After 14 months he presented with lethargy and presyncope due to a complete atrio-ventricular block with an escape rhythm of 35 beats/min. The temporary pacing electrode was inserted, followed by permanent DDDR pacemaker implantation on the third day as the block persisted despite WG treatment intensification. Clinical picture showed the disease in a progressive state.

Abstract

Involvement of the conduction system of the heart in Wegener’s granulomatosis (WG) is rare. We present a 53-year-old man with WG pulmonary, renal and left eyeball involvement and with a high initial level of cANCA (1: 640). He was treated with steroids, cyclophosphamide and cyclosporine. After 14 months he presented with lethargy and presyncope due to a complete atrio-ventricular block with an escape rhythm of 35 beats/min. The temporary pacing electrode was inserted, followed by permanent DDDR pacemaker implantation on the third day as the block persisted despite WG treatment intensification. Clinical picture showed the disease in a progressive state.

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Keywords

Wegener’s granulomatosis; complete heart block

About this article
Title

Case reports
Complete heart block due to Wegener’s granulomatosis: a case report and literature review

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 6 (2006)

Pages

622-627

Published online

2006-06-27

Bibliographic record

Kardiol Pol 2006;64(6):622-627.

Keywords

Wegener’s granulomatosis
complete heart block

Authors

Waldemar Elikowski
Artur Baszko
Mariusz Puszczewicz
Ewa Stachura

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