类风湿性关节炎完全性心脏传导阻滞1例:一种常见疾病的罕见表现

C. Singha, S. Zaman, Rasul Amin, F. I. Khaled, E. Biswas, Afm Azim Anwar, Sanjida Anjum Mumu
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引用次数: 0

摘要

我们报告一例完全性心脏传导阻滞(CHB)患者的类风湿性关节炎(RA),因为它的非典型表现,抗CCP阴性和CHB的罕见原因之一。它主要发生在糜烂性结节性RA患者。它通常是突然的和永久性的。它有多种机制,但最常见的原因是浸润在房室结或束旁。如果CHB发展,最好的治疗选择是植入永久性起搏器。如果没有其他心脏病变,预后通常很好。大学心脏杂志2022;18 (2): 132 - 134
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Complete Heart Block in a Case of Rheumatoid Arthritis: Uncommon Presentation of a Common Disease
We report a case of complete heart block (CHB) in a patient with rheumatoid arthritis (RA) because of its atypical presentation, negative Anti CCP and one of the uncommon causes of CHB. It occurs mainly in patients with established erosive nodular RA. It is usually sudden and permanent. It has several mechanisms, but the most common cause is infiltration in or near the AV node or bundle of His. If CHB develop the best option of treatment is the insertion of a permanent pacemaker. The prognosis is usually good provided no other cardiac lesions exist. University Heart Journal 2022; 18(2): 132-134
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