ISSN 1306-0015 | E-ISSN 1308-6278
Case Report
Syncope due to complete atrioventricular block and treatment with a transient pacemaker in acute rheumatic fever: A case report
1 Department of Pediatric Cardiology, Necip Fazıl State Hospital, Kahramanmaraş, Turkey  
2 Division of Pediatric Cardiology, Department of Pediatrics, Erciyes University School of Medicine, Kayseri, Turkey  
Turk Pediatri Ars ; : -
DOI: 10.5152/TurkPediatriArs.2018.4014
Key Words: Acute rheumatic fever, complete atrioventricular block, transient pacemaker


Various rhythm and connection disorders can be seen in the acute phase of acute rheumatic fever. First degree atrioventricular block, one of the minor signs of acute rheumatic fever, is the most common connection disturbance in this disease. Complete atrioventricular block, which seriously affects the conduction pathways, is rare in the literature. A 15-year-old boy was admitted because of syncope caused by complete atrioventricular block and a temporary pacemaker was employed because of symptomatic complete atrioventricular block. The transient pacemaker treatment was terminated due to recovery of complete atrioventricular block on the third day of antiinflammatory treatment. Acute rheumatic fever should be kept in mind as a possible cause of acquired complete atrioventricular block. Connection disturbances in acute rheumatic fever improve with antiinflammatory treatment. Transient pacemaker treatment is indicated for patients with symptomatic transient complete atrioventricular block.

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