Korean J Med.
2012 Nov;83(5):629-632.
Persistent Complete Atrioventricular Block after Recovery from Acute Fulminant Myocarditis
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, College of Medicine, Inje University, Busan, Korea. hacemed@hanmail.net
Abstract
- Acute myocarditis can be caused by viral, bacterial, or protozoal infection, or drug toxicity. Fulminant myocarditis progresses rapidly and frequently leads to cardiogenic shock, so patients should be supported by extracorporeal membrane oxygenation (ECMO), an intra-aortic balloon pump (IABP), mechanical ventilation, or a temporary pacemaker to maintain hemodynamic status. Most patients recover with supportive therapy. However, a few patients have persistent atrioventricular (AV) block. We report the case of a 34-year-old male with persistent complete atrioventricular block after the regression of acute myocarditis. Ultimately, a permanent pacemaker was implanted.
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