Complete Heart Block in a Case of Rheumatoid Arthritis: Uncommon Presentation of a Common Disease

Authors

  • Chayan Singha Department of Cardiology, Bangabandhu Sheikh MUjib Medical University, Dhaka, Bangladesh
  • SM Mustafa Zaman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Rasul Amin Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Fakhrul Islam Khaled Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Eshita Biswas Assistant Prof. Dept. of Medicine, Dhaka National Medical College. Dhaka, 3M&E Officer, NTP, DGHS, Dhaka, Bangladesh
  • AFM Azim Anwar Department of Cardiology, Bangabandhu Sheikh MUjib Medical University, Dhaka, Bangladesh
  • Sanjida Anjum Mumu M&E Officer, NTP, DGHS, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/uhj.v18i2.62739

Keywords:

Complete Heart Block, Rheumatoid Arthritis, Permanent Pacemaker

Abstract

We report a case of complete heart block (CHB) in a patient with rheumatoid arthritis (RA) because of its atypical presentation, negative Anti CCP and one of the uncommon causes of CHB. It occurs mainly in patients with established erosive nodular RA. It is usually sudden and permanent. It has several mechanisms, but the most common cause is infiltration in or near the AV node or bundle of His. If CHB develop the best option of treatment is the insertion of a permanent pacemaker. The prognosis is usually good provided no other cardiac lesions exist.

University Heart Journal 2022; 18(2): 132-134

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Published

2022-11-08

How to Cite

Singha, C. ., Zaman, S. M. ., Amin, R. ., Khaled, F. I. ., Biswas, E. ., Anwar, A. A. ., & Mumu, S. A. . (2022). Complete Heart Block in a Case of Rheumatoid Arthritis: Uncommon Presentation of a Common Disease. University Heart Journal, 18(2), 132–134. https://doi.org/10.3329/uhj.v18i2.62739

Issue

Section

Case Reports