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KMID : 0882420120830050629
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Korean Journal of Medicine
2012 Volume.83 No. 5 p.629 ~ p.632
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Persistent Complete Atrioventricular Block after Recovery from Acute Fulminant Myocarditis
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Park Bo-Min
Seol Sang-Hoon
Park Seung-Hyun
Lee Ju-Won
Kim Dong-Kie
Kim Ki-Hun
Kim Doo-Il
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Abstract
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Acute myocarditis can be caused by viral, bacterial, or protozoal infection, or drug toxicity. Fulminant myocarditis progresses rapidly and frequently leads to cardiogenic shock, so patients should be supported by extracorporeal membrane oxygenation (ECMO), an intra-aortic balloon pump (IABP), mechanical ventilation, or a temporary pacemaker to maintain hemodynamic status. Most patients recover with supportive therapy. However, a few patients have persistent atrioventricular (AV) block. We report the case of a 34-year-old male with persistent complete atrioventricular block after the regression of acute myocarditis. Ultimately, a permanent pacemaker was implanted.
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KEYWORD
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Myocarditis, Atrioventricular block, Pacemaker
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