RECOVERY FROM COMPLETE HEART BLOCK IN DIPHTHERIA

PEDIATRICS ◽  
1949 ◽  
Vol 3 (2) ◽  
pp. 222-233
Author(s):  
MARY ALLEN ENGLE
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Peripheral Vascular ◽  
Intraventricular Conduction ◽  
Untoward Effect ◽  
Conduction Disturbances ◽  
Conduction Disorders ◽  
Cardiac Decompensation

Six patients who recovered from complete heart block in diphtheria have been reported. Four of these had intraventricular conduction disturbances as well. All but one of these patients had massive glandular and periglandular edema of the neck: a "bullneck." The shortest duration of the conduction disorders was two days. The longest was six weeks. Two of the patients who recovered showed evidence of both cardiac decompensation and peripheral vascular collapse. Three of the patients were digitalized without untoward effect and with prompt improvement in at least two of them. Four of the six patients developed peripheral paralyses during convalescence.

About contraindications to the use of digitalis

1930 ◽  
Vol 26 (10) ◽  
pp. 1052-1052
Author(s):  
D. Scherf
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Heart Block ◽  
Blood Circulation ◽  
Complete Heart Block ◽  
Minute Volume ◽  
Absolute Contraindication ◽  
Conduction Disturbances ◽  
Digitalis Therapy ◽  
General Pathology

Abstracts. General pathology and therapy. About contraindications to the use of digitalis D. Scherf (Dioarztliche Praxis No. 1-1930) considers it unreasonable to be afraid of digitalis with sometimes concomitant cardiac weakness of bradycardia, since digitalis contributes to lengthening diastole, better filling the ventricles, increasing their contractions and increasing minute volume, and a trace, and improve blood circulation. In case of conduction disturbances, one should not always be afraid of using digitalis'a, since practice has shown that a complete heart block coming from digitalis'a sometimes improves the patient's condition. High blood pressure is not an absolute contraindication for digitalis therapy, as for reasons unknown to us, digitalis often lowers blood pressure.

scholarly journals Impaired heart conduction in pilots of civil aviation of the older age group

2020 ◽  
Vol 22 (2) ◽  
pp. 39-44
Author(s):  
A. Y. Kuzmina ◽  
A. A. Blaginin ◽  
A. Ya Fisun
Keyword(s):  
Heart Rhythm ◽  
The State ◽  
Older Age ◽  
Cardiac Conduction ◽  
Civil Aviation ◽  
Age Group ◽  
Intraventricular Conduction ◽  
Conduction Disturbances ◽  
Conduction Disorders ◽  
Aviation Pilots

Prevalence, structure and clinical significance of conduction disturbances was studied according to the electrocardiography findings in 1189 older pilots in aged 55 years and older, who were to the Central Civil Aviation Hospital (Moscow) and examined on the regular bases. Resting electrocardiogram was recorded in all subjects according to generally accepted methods. Heart conduction disorders were detected in 16,9% of pilots of the older age group. More common were intraventricular conduction disturbances - 13,7% of cases, atrioventricular conduction disturbances were recorded less often- 1,8% of cases, and their combination was even less common - 0,6% of cases. Cardiac conduction abnormalities as part of another electrocardiogram syndromes were noted in 10 (0,8%) peoples. Older civil aviation pilots are characterized a lower frequency of electrocardiogram changes compared to a general population of the same age in the Russian Federation. The signs of cardiac conduction disturbances on the electrocardiogram in civil aviation pilots did not always lead to unfitness to fly. The evaluation of fitness to flight in some electrocardiogram deviations is depend of the presence or absence of cardiovascular disease, functional condition of the cardiovascular system and the data of additional examination methods. Diagnosis of heart rhythm and conduction disorders is important in assessing the state of the circulatory system, especially in flight personnel. Timely detection of cardiac conduction disorders in civil aviation pilots is essential for maintaining medical safety, especially in older people. Electrocardiography is performed as an initial method for assessing the state of the conducting heart system in civil aviation pilots.

Complete heart block in lupus

Lupus ◽  
2019 ◽  
Vol 28 (13) ◽  
pp. 1589-1593
Author(s):  
A Natsheh ◽  
D Shimony ◽  
N Bogot ◽  
G Nesher ◽  
G S Breuer
Keyword(s):  
Lupus Erythematosus ◽  
Heart Block ◽  
Complete Heart Block ◽  
Permanent Pacemaker ◽  
Initial Manifestation ◽  
Intraventricular Conduction ◽  
Dna Antibodies ◽  
Electrocardiographic Findings ◽  
Antibody Tests

Conduction abnormalities are uncommon in adult patients with lupus. We present a young woman with recurrent syncope caused by third-degree atrio-ventricular block as the initial manifestation of lupus and review 31 additional cases of systemic lupus erythematosus patients that have been described previously with complete heart block. Heart blocks occurred almost exclusively in females. The median age was 37 years. In 24 cases heart blocks were diagnosed in patients with established lupus. In only five patients, including the patient presented here, heart blocks were diagnosed before the lupus diagnosis. Syncope was the most common presenting symptom of heart block. Electrocardiographic findings prior to heart block episodes were reported in 17 cases: eight had normal findings, but nine had already variant forms of atrioventricular or intraventricular conduction defects. Anti-nuclear antibody tests were reported in 25 cases and were all positive. Anti-DNA antibodies were also common and were positive in 16 of 19 cases (84%). Anti-La and anti-Ro antibodies were less common (13% and 35%, respectively). Three patients died, all prior to 1975. Heart block resolved in 10 cases. Follow-up was reported in four of these cases and heart block recurred in three of them. A permanent pacemaker was the eventual treatment in 22 cases. The etiology of lupus-associated complete heart block is not clear. It is probably variable, possibly related to effects of autoantibodies reacting with the conduction system, myocardial disease and adverse effects of antimalarials. Insertion of a permanent pacemaker seems to be the preferable method of treatment.

scholarly journals Complete heart block in Acute Rheumatic fever

2013 ◽  
Vol 9 (1) ◽  
pp. 56-58
Author(s):  
CM Poudel ◽  
RM Gajurel ◽  
M Barkoti ◽  
SM Acharya ◽  
OM Anil
Keyword(s):  
Rheumatic Fever ◽  
Heart Block ◽  
Acute Rheumatic Fever ◽  
Complete Heart Block ◽  
Cardiac Conduction ◽  
Conduction Disturbances ◽  
Ventricular Premature Complexes ◽  
Bundle Branch Blocks ◽  
Temporary Pacemaker ◽  
Electrocardiographic Changes

Rheumatic fever can cause a variety of cardiac conduction disturbances. First-degree heart block is a common electrocardiographic manifestation of acute rheumatic fever and is included in Jones’ diagnostic criteria. Other electrocardiographic changes such as sinus tachycardia, bundle branch blocks, nonspecific ST-T wave changes, atrial and ventricular premature complexes have been reported with variable frequency. However, complete heart block is an exceptionally rare manifestation of acute rheumatic fever. We report a 15 years female who developed Complete heart Block during an episode of acute rheumatic carditis. The patient was successfully treated with conventional treatment and Temporary Pacemaker. DOI: http://dx.doi.org/10.3126/njh.v9i1.8351 Nepalese Heart Journal Vol.9(1) 2012 pp.56-58

scholarly journals The peripheral vascular response to severe exercise in untethered dogs before and after complete heart block

1971 ◽  
Vol 50 (9) ◽  
pp. 1950-1960 ◽  
Author(s):  
Stephen F. Vatner ◽  
Charles B. Higgins ◽  
Saxon White ◽  
Thomas Patrick ◽  
Dean Franklin
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Vascular Response ◽  
Peripheral Vascular ◽  
Before And After ◽  
Severe Exercise

scholarly journals Primary Cardiac Lymphoma Manifesting as Complete Heart Block

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Courtney R. Usry ◽  
Andrew S. Wilson ◽  
Kelvin N. V. Bush
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Clinical Manifestations ◽  
Right Atrial ◽  
Cardiac Tumors ◽  
Cardiac Lymphoma ◽  
Primary Cardiac Lymphoma ◽  
Atrial Mass ◽  
Conduction Disturbances ◽  
Right Atrial Mass

Primary cardiac tumors are exceedingly rare with variable clinical manifestations. This case involves a patient presentation of symptomatic complete heart block and cardiac imaging revealing a right atrial mass invading the myocardium consistent with Burkitt lymphoma on histopathology. The patient received definitive bradytherapy with a pacemaker and chemotherapy for the primary cardiac lymphoma. After three cycles of chemotherapy, the right atrial mass regressed significantly with restoration of atrioventricular conduction and no pacing burden. Primary cardiac lymphomas infrequently manifest as atrioventricular block and this case highlights cardiac masses as a potential etiology when evaluating new conduction disturbances and bradyarrhythmias.

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