Reversible second degree atrioventricular block after a severe sickle cell crisis

Article Article scientifique Article Reversible second degree atrioventricular block after a severe sickle cell crisis eng 1998 author Jaeggi Edgard 527637 author Bolens Marc 549873 author Friedli Beat 25332 171-173 10.1007/s002469900272 9565512 0172-0643 Despite the high prevalence of sickle cell disease and trait in the black population and its serious potential for microinfarction, there are only a few reports on acute myocardial damage during vasoocclusive crisis. We report a unique case of transient second degree atrioventricular (A-V) block of Mobitz I and II type during a severe sickle cell crisis. Localized high ventricular septum hypoperfusion demonstrated by a 99mTc-MIBI radionuclide study and reversible echocardiographic wall motion abnormalities in the same area were strong indicators for a local ischemic event in the A-V node and His bundle area, explaining the observed transient conduction abnormalities. The present report draws attention to a potentially lethal complication of sickle cell crisis. Child Contrast Media Heart Block/etiology Humans Male Myocardial Ischemia/etiology/radionuclide imaging Sickle Cell Trait/complications Technetium Tc 99m Sestamibi/diagnostic use Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false Pediatric cardiology 19 2 9ce62d1b-a2cf-4350-8603-1ac34be1f075 Article (Published version) Restricted 171-173.pdf 375841 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Reversible second degree atrioventricular block after a severe sickle cell crisis	Pediatric cardiology			1998	508	0

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Bolens, Marc