The authors report the case of a 27 years old athletic patient, without any antecedents, presenting with a recent complete atrioventricular AV block, disclosed by an effort dyspnoea and syncope. The electrophysiological exploration showed a nodal AV block. The magnetic resonance imaging revealed the existence of a septal hypersignal in T1 mode enhanced after Gadolinium injection, and left ventricular function normality. It also revealed the existence of a pulmonary parenchyma infiltrate, confirmed by thoracic scanner. Programmed electrical stimulation induced no ventricular arrhythmia.
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Congenital atrio-ventricular block is an unusual disease, which can have complications such as syncope or sudden death at any time. We report the case of a year-old woman, who had presented a serial convulsive crisis which was at the foreground. Isolated congenital atrio-ventricular block has a good prognosis but it there are some bad prognosis factors making installation of a pacemaker imperative although the age which it should be implanted remains controversial. The electrocardiogram remains an essential tool for prehospital managment.
Keywords: Congenital atrioventricular block , Syncope , Conduction disorder , Prehospital , Electrocardiography. Derouet, S. Derobert, P. Journal page Archives Contents list. Boulain, I. Runge, M. Wolf, N. Bercault, C. Article Article Outline. Access to the text HTML.
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