A Rare Case of Complete Atrioventricular Block caused by Acute Rheumatic Fever in Young Adult: A Case Report
DOI:
https://doi.org/10.19184/ams.v11i1.51938Abstract
Acute Rheumatic Fever (ARF) causes inflammatory process that can affect multiple organs including the heart conduction system. The most common rhythm issue is first-degree atrioventricular (AV) block, complete AV block, and another kind of aberrant conduction. The occurrence of second and third-degree AV block are less common in ARF. Modified major and minor of Jones criteria is used to diagnose ARF, other supportive laboratory examinations are helpful to confirm the diagnosis. We reported a 25 years old man came to emergency unit with fever and chest pain. A complete AV block was found using electrocardiogram along with high Anti-Streptolysin (ASO) titers and troponin as a proof of inflammatory process, especially on heart conduction. The patient is completely recovered with corticosteroid without any single residual symptom. Despite the rarity of its occurrence, adult-onset ARF may be one of the causes of complete AV block. Early investigation and treatment will prevent further complication on cardiovascular system.
Keywords: rheumatic fever, atrioventricular block
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