Polymyositis and complete heart block.
نویسندگان
چکیده
The development of complete heart block is described in a patient with polymyositis. The implantation of a permanent pacemaker has controlled the heart block, but the progression of the underlying disease despite treatment with relatively high dosage of corticosteroids makes the outlook uncertain.
منابع مشابه
Cardiac involvement in chronic polymyositis.
This is a report of a 30-year-old male patient with a six-year history of chronic polymyositis. There was no family history of muscular or cardiac disease. Three years after the onset of the illness the patient developed congestive cardiac failure with evidence of complete heart block. Treatment with steroids failed to arrest the course of the disease. Necropsy showed abnormalities in the proxi...
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Cardiac damage, consisting of mild diffuse myocarditis or severe inflammation and fibrosis of the conduction system or both, occurs in more than 70% of patients with idiopathic polymyositis. The lesions are strikingly similar to those detected in the infants of mothers with connective tissue diseases. In these infants the damage is associated with the transplacental passage of a maternal antibo...
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Introduction Myocardial involvement in polymyositis has been increasingly recognized since it was first reported by Oppenheim (1899). Cardiac manifestations include congestive cardiac failure (Lynch, 1971; Bohan et al., 1977; Denbow et al., 1979), pericarditis (Lynch, 1971), atrioventricular and bundle branch block (Lynch, 1971, Schaumburg, Nielsen and Yurchak, 1971; Henderson et al., 1980) and...
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Background: Potassium, as an extracellular ion, plays an important role in the electrophysiologic function of the myocardium and any change in extracellular concentration of this ion might have a marked impression upon myocyte electrophysiologic gain. High serum potassium levels are thought to impair pulse conduction in Purkinje fibers and ventricles more than that in the Atrio...
متن کاملKeratodermia blenorrhagica, arthritis, and polymyositis with cardiopulmonary complications.
A patient is described who had polymyositis with arthritis, keratodermia blenorrhagica, pulmonary fibrosis, and cardiac failure with a right bundle branch block. The cutaneous lesions on his palms and soles, considered to be specific for Reiter's syndrome, pointed to an overlapping of polymyositis with features of this syndrome. Findings typical of myositis were present. In addition a muscle bi...
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ورودعنوان ژورنال:
- British heart journal
دوره 41 5 شماره
صفحات -
تاریخ انتشار 1979