Seizures and syncope due to complete atrioventricular block in a patient with acute myocarditis with a normal left ventricular systolic function

Intern Med. 2012;51(21):3035-40. doi: 10.2169/internalmedicine.51.8410. Epub 2012 Nov 1.

Abstract

A 43-year-old man was admitted to our hospital presenting with seizures and syncope. He had a history of a cold with a fever of 39°C occurring three days earlier. Electrocardiography (ECG) showed complete atrioventricular block (AV block) with a maximum pause of 32 seconds, for which temporary pacing was performed. Echocardiography showed mild hypertrophy of the left ventricle (LV) with a normal ejection fraction of 61%. Coronary angiography showed normal coronary arteries. Then, an endomyocardial biopsy was performed, the results of which indicated a diagnosis of acute myocarditis. After admission, the complete atrioventricular block disappeared together with normalization of the LV wall thickness.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Atrioventricular Block / complications*
  • Atrioventricular Block / physiopathology
  • Atrioventricular Block / therapy
  • Cardiac Pacing, Artificial
  • Echocardiography
  • Electrocardiography
  • Humans
  • Hypertrophy, Left Ventricular / etiology
  • Male
  • Myocarditis / complications*
  • Myocarditis / diagnosis
  • Myocarditis / physiopathology
  • Seizures / etiology*
  • Syncope / etiology*
  • Systole
  • Ventricular Function, Left