Complete heart block in systemic sclerosis: A case report and literature review

In this study, we report the case of a 48-year-old Chinese male who suffers from SSc and CHB. Diagnose: The patient was previously diagnosed with left anterior hemiblock (LAHB) and right bundle block with normal heart function. CHB was observed on a regular follow-up electrocardiogram (ECG) examination 1 month before his hospitalization. Interventions: A permanent dual chamber pacemaker was implanted. Outcomes: The patient responded well to pacemaker implantation treatment, and his exertional dyspnea disappeared. Lessons: The occurrence of heart block associated with SSc often appears concealed. The case highlights the importance of regular follow-up of a patient with SSc. Pacemaker implantation might be unavoidable if CHB is secondary to SSc, even if it is asymptomatic.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research