Syncope and complete atrioventricular block related to pulmonary thromboembolism.

Hospital Unimed Coração Vitória Mailing address: Jorge Elias Neto Rua Alfeu Pereira, 60 Cep 29050-190 Vitória, ES, Brazil E-mail: [email protected] Received for publication: 1/27/03 Accepted for publication: 2/24/04 English version by Stela Maris Costalonga The co-occurrence of syncope and complete atrioventricular block associated with pulmonary thromboembolism is very rare, and only a few cases have been reported in the literature 4-8. This association was a complicating factor for the initial diagnosis of pulmonary thromboembolism and had clear implications in the outcome of most cases reported 5,7. This study aimed at reporting the case of a patient with this form of presentation and at discussing the clinical, electrocardiographic, pathophysiological, prognostic, and therapeutic aspects of that rare manifestation of pulmonary thromboembolism.