Complete Atrioventricular Dissociation with Stokes-Adams Attacks Due to Disseminated Lupus Erythematosus
Authors: GEORGE R. MOFFITT
Journal: Annals of Internal Medicine (1965)

Case Studies1 September 1965Complete Atrioventricular Dissociation with Stokes-Adams Attacks Due to Disseminated Lupus ErythematosusReport of a CaseGEORGE R. MOFFITT JR., M.D., F.A.C.P.GEORGE R. MOFFITT JR., M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-3-508 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn most studies of disseminated lupus erythematosus over 50% of patients demonstrate some type of cardiac involvement. Thus Hejtmancik, Wright, Quint, and Jennings (1) found cardiac involvement in 58% of 142 cases. "Myocarditis" and pericarditis constitute the most frequently observed cardiac manifestations. Five cases of bundle branch block and one case of paroxysmal atrial tachycardia with atrioventricular block (considered due to digitalis toxicity) were reported by Hejtmancik and associates (1). Complete atrioventricular block with Stokes-Adams seizures has not been reported to have been caused by disseminated lupus erythematosus. Lev (2) does not include it as a cause of complete atrioventricular...References1. HEJTMANCIKWRIGHTQUINTJENNINGS MRJCRFL: The cardiovascular manifestations of systemic lupus erythematosus. Amer. Heart J. 68: 119, 1964. CrossrefMedlineGoogle Scholar2. LEV M: The pathology of complete atrioventricular block. Progr. Cardiov. Dis. 6: 317, 1964. CrossrefMedlineGoogle Scholar3. SIGUIERBINETGODEAULEVYHAMIDA FPPRB: Dermatomyosite compliqueé de bloc auriculo-ventriculare complet avec syndrome Adams-Stokes. Implantantion d'un stimulateur interne. Bull. Soc. Med. Hop. Paris 113: 1126, 1962. MedlineGoogle Scholar4. EDWARDS JE: Acquired Diseases of the Heart and Great Vessels. Vol. II. W. B. Saunders Co., Philadelphia, 1961, p. 850. Google Scholar5. Ibid., p. 810. Google Scholar6. SHEARN MA: The heart in systemic lupus erythematosus. Amer. Heart J. 58: 452, 1959. CrossrefMedlineGoogle Scholar7. LEPESCHKIN E: The electrocardiographic diagnosis of bilateral bundle branch block in relation to heart block. Progr. Cardiov. Dis. 6: 445, 1964. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: GEORGE R. MOFFITTJR., M.D., F.A.C.P.Affiliations: Harrisburg, PennsylvaniaFrom the Department of Medicine, Harrisburg Polyclinic Hospital, Harrisburg, Pa.Requests for reprints should be addressed to George R. Moffitt, Jr., M.D., Chief, Department of Medicine, Harrisburg Polyclinic Hospital, 2447 N. Third St. Harrisburg, Pa. 17110. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComplete heart block in lupusSevere brady-arrhythmias in systemic lupus erythematosus: prevalence, etiology and associated factorsDevelopment of various arrhythmias and conduction disturbances following corticosteroid therapy for systemic lupus erythematosus with antiphospholipid syndromeBloqueo auriculoventricular completo en pacientes adultos con lupus eritematoso sistémico. Casuística propia y revisión de la bibliografíaLetter to the EditorVariable atrioventricular block in systemic lupus erythematosusComplete heart block in an adult with systemic lupus erythematosus and recent onset of hydroxychloroquine therapyComplete Heart Block in an Adult with Systemic Lupus ErythematosusArrhythmias in cardiomyopathies of childhoodHigh-grade atrioventricular heart block in an adult with systemic lupus erythematosus: The association of nuclear RNP (U1 RNP) antibodies, a case report, and review of the literatureNeonatal Rheumatic DisordersAnti-Ro Antibodies and Neonatal LupusSystemic Lupus ErythematosusCardiovascular manifestations of systemic lupus erythematosus: Current perspectiveAnatomie und pathologische Anatomie des spezifischen Reizbildungs- und Erregungsleitungssystems sowie des kontraktilen MyokardsCardiac Manifestations of SLECongenital complete heart block and persistent ductus arteriosus associated with maternal systemic lupus erythematosus.Congenital complete heart block in the newborn associated with maternal systemic lupus erythematosus and other connective tissue disorders.Association of Maternal Systemic Lupus Erythematosus with Congenital Complete Heart BlockCongenital heart block in newborns of mothers with connective tissue disease.Conduction system in systemic lupus erythematosus with atrioventricular blockThe Stokes-Adams syndrome 1 September 1965Volume 63, Issue 3Page: 508-511KeywordsCatheterizationElectrocardiographyEpileptic seizuresHospital medicineLupus erythematosusMyocarditisPacemakersParoxysmal atrial tachycardiaToxicity ePublished: 1 December 2008 Issue Published: 1 September 1965 PDF downloadLoading ...