Familial atrioventricular block in 1 case.docVIP

 PAGE \* MERGEFORMAT 6 Familial atrioventricular block in 1 case [Keywords:] familial atrioventricular block Primary cardiac conduction system disease is not uncommon, but the family of the cardiac conduction system diseases, especially atrioventricular bundle branch lesions extremely rare [1]. A case report Female patient, 45 years old. Main cause of recurrent episodes of amaurosis April on November 28, 2007 admission. Past physical health, no long-term medication history, and bad habits. The patient began in August 2007 had no incentive to paroxysmal chest tightness , breath, fatigue with the black mask, obviously after the event, can be improved after the break. outside hospital treatment electrocardiogram showed sinus rhythm, I degree AV block (PR 0.37 ~ 0.44 s), heart rate 50 to 90 times / min, monitoring heart rate dropped to 50 times during / min to the above-mentioned symptoms. diagnosed as arrhythmia, I degree atrioventricular block. to atropine 0.3mg, 3 times a day, the heart Po 2 capsules 3 times a day treatment Symptoms improved and discharged. insist on taking the heart treasure after discharge, symptoms occur from time to time, and shortness of breath, precordial discomfort, such as performance, the line left ventricular anterior wall myocardial SPECT showed, anteroseptal reversible myocardial ischemia on 23 August .2007 CAG patients showed normal coronary line. electrocardiogram showed I atrioventricular block, left branch block, complete right bundle branch block. on November 27, 2007 after the emotional heart palpitations, suffocation, chest pain associated with amaurosis readmitted. electrocardiogram prompted III degree atrioventricular block. Echocardiography left atrial slightly larger than normal. diagnosis of “cardiac arrhythmia, three-bundle branch block (complete right bundle branch block, left branch block , PR interval prolongation), Aspen syndrome, III degree atrioventricular block. “installation of permanent cardiac pacem