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All Journal International Journal of Cardiovascular Practice
Hamza Choukrallah
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco
Medicine & Pharmacology

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Rheumatic Complete Atrioventricular Block: A Case Report Saousan Serbout; Hamza Choukrallah; Leila Azzouzi; Abdenasser Drighil; Rachida Habbal
International Journal of Cardiovascular Practice Article in Press
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (583.98 KB) | DOI: 10.29252/ijcp-28857

Abstract

Acute rheumatic fever is a well-known disease that is still widely observed in developing countries, including our country Morocco. It is known that the majority of patients diagnosed with acute rheumatic fever display abnormalities of the conduction system; However, there are only a few case reports that describe severe impairment in the electrical conduction system. We describe a 21-year-old man who was diagnosed with acute rheumatic fever with complete atrioventricular block. In our patient, the diagnosis of acute rheumatic fever was established. 24-hour electrocardiography showed a paroxistic complete atrioventricular block. Penicillin prophylaxis was made, and salicylate treatment in an anti-inflammatory dose was initiated. The electrocardiographic abnormalities of the patient disappeared. Although rare, this diagnosis should be considered in patients with complete heart block, particularly when it is associated with other features of acute rheumatic fever. Conduction disorders associated with acute rheumatic fever often resolve following appropriate treatment without the need for permanent pacemaker placement.
Co-Authors Abdenasser Drighil Leila Azzouzi Rachida Habbal Saousan Serbout