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Scientific article
English

Reversible second degree atrioventricular block after a severe sickle cell crisis

Published inPediatric cardiology, vol. 19, no. 2, p. 171-173
Publication date1998
Abstract

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.

Keywords
  • Child
  • Contrast Media
  • Heart Block/etiology
  • Humans
  • Male
  • Myocardial Ischemia/etiology/radionuclide imaging
  • Sickle Cell Trait/complications
  • Technetium Tc 99m Sestamibi/diagnostic use
Citation (ISO format)
JAEGGI, Edgard, BOLENS, Marc, FRIEDLI, Beat. Reversible second degree atrioventricular block after a severe sickle cell crisis. In: Pediatric cardiology, 1998, vol. 19, n° 2, p. 171–173. doi: 10.1007/s002469900272
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Article (Published version)
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Identifiers
ISSN of the journal0172-0643
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