Complete Atrioventricular Block and Infective Endocarditis in a Patient with Hypertrophic Obstructive Cardiomyopathy

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概要

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• A 62-year-old man with hypertrophic obstructive cardiomyopathy (HOCM) had complete atrioventricular (AV) block and subsequent cardiac standstill. A previous electrocardiogram revealed a bifascicular block pattern. Because he also suffered from infective endocarditis of the native aortic valve, surgical therapy (dual-chamber permanent pacing, myectomy of the left ventricular outflow tract, and valve replacement) was performed. Complete AV block unrelated to a procedure is a rare complication in patients with HOCM, but it may be life-threatening. Therefore, a pre-existing cardiac conduction disturbance should be specifically recognized as the aura of a higher degree of AV block.

著者

• Tsuruya Yoshio

  Division of Cardiology, Tokyo Kita Social Insurance Hospital, Japan

関連論文

• Complete Atrioventricular Block and Infective Endocarditis in a Patient with Hypertrophic Obstructive Cardiomyopathy

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