Reversible Second Degree Atrioventricular Block After a Severe Sickle Cell Crisis
| Autor: | Marc Bolens, Edgard Jaeggi, Beat Friedli |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Technetium Tc 99m Sestamibi
Male medicine.medical_specialty Population Cell Myocardial Ischemia Contrast Media Sickle Cell Trait Sickle Cell Trait/complications Internal medicine medicine Humans Radionuclide Imaging Child education Second-degree atrioventricular block education.field_of_study ddc:618 High prevalence business.industry Transient conduction medicine.disease Cardiac surgery Heart Block/etiology Myocardial Ischemia/etiology/radionuclide imaging Heart Block medicine.anatomical_structure Pediatrics Perinatology and Child Health Cardiology Technetium Tc 99m Sestamibi/diagnostic use Cardiology and Cardiovascular Medicine Complication business Perfusion |
| Zdroj: | Pediatric Cardiology, Vol. 19, No 2 (1998) pp. 171-3 |
| ISSN: | 1432-1971 0172-0643 |
| DOI: | 10.1007/s002469900272 |
| Popis: | Despite the high prevalence of sickle cell disease and trait in the black population and its serious potential for microinfarction, there are only a few reports on acute myocardial damage during vasoocclusive crisis. We report a unique case of transient second degree atrioventricular (A-V) block of Mobitz I and II type during a severe sickle cell crisis. Localized high ventricular septum hypoperfusion demonstrated by a 99mTc-MIBI radionuclide study and reversible echocardiographic wall motion abnormalities in the same area were strong indicators for a local ischemic event in the A-V node and His bundle area, explaining the observed transient conduction abnormalities. The present report draws attention to a potentially lethal complication of sickle cell crisis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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