Acute lymphocytic myocarditis presenting as complete heart block in an adult: a case report.

ABSTRACT:

Background

Complete heart block (CHB) as a first presentation of acute viral myocarditis is a rare occurrence associated with increased morbidity and mortality. In such cases, an endomyocardial biopsy is recommended to make a clear histological diagnosis aiding to differentiate from other possible conditions such as sarcoiditic myocarditis, giant cell myocarditis, and eosinophilic myocarditis. Insertion of a permanent pacemaker may be considered on a case-to-case basis.

Case presentation

A previously healthy 21-year-old female presented to the emergency department after having suffered two episodes of syncope on a background of a few days' history of myalgias, chills, and rigors. Electrocardiogram showed high-grade Mobitz II block with intermittent periods of CHB. A bedside

SUBMITTER: Camilleri T 

PROVIDER: S-EPMC10468464 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature