Annales de cardiologie et d’angéiologie – Vol. 63 – N° 5 – p. – Bloc auriculo-ventriculaire transitoire aigu dans la drépanocytose. Première série. Waxman MB, Catching JD, Felderhof CH, Downar E, Silver MD, Abbott MM. Familial atrioventricular heart block; an autosomal dominant trait. Circulation. Translation for ‘bloc auriculo-ventriculaire’ in the free French-English dictionary and many other English translations.
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Even though sickle cell disease has a high prevalence amongst the black race and despite its well known potential of micro infarction, there have been only a few reports regarding the acute myocardial damage during vaso-occlusive crisis. The risk of atrio ventricular block during these crises has never been described in a large survey.
Ten patients six men and four women, mean age 39 years old were hospitalized for an acute atrio ventricular akriculo. The patients were all African or Caribbean natives. Three patients were found with a heterozygous phenotype for hemoglobin S sickle trait and seven were found with a homozygous phenotype. The most common symptoms were asthenia 10 casesshortness of breath 8 cases and acute coronary syndrome 1 case syncope was not reported.
Four patients had a second degree atrio ventricular block and six patients had third degree block. The treatment involved bed rest, intravenous hydration, and pain relief with opiates.
All the cases of atrio ventricular block were only transitory and ventriculajre of the patients underwent a pacemaker implantation. This report is the largest survey regarding transitory acute atrio ventricular block in patients with sickle cell disease.
A local ischemic event affecting the AV node and Hiss bundle area can explain the conduction abnormalities.
Sickle cell disease must be ruled out in black patients with an AV block.
Acute atrio-ventricular block, Anaemia, Haemoglobinopathy, Sickle cell disesase. Journal page Archives Contents list. Access to the text HTML. Access to the PDF text. Access to the full text of this article requires a subscription. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen.
“bloc auriculo-ventriculaire” in English
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Bloc auriculo-ventriculaire congénital – EM|consulte
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