A Case of Lymphocytic Myocarditis With Complete Heart Block Requiring Permanent Pacemaker Implantation

Hirmand Nouraei; Avi Ostry; Jonathon A Leipsic; Zachary Laksman

doi:10.1016/j.cjca.2021.06.010

A Case of Lymphocytic Myocarditis With Complete Heart Block Requiring Permanent Pacemaker Implantation

Can J Cardiol. 2021 Oct;37(10):1657-1658. doi: 10.1016/j.cjca.2021.06.010. Epub 2021 Jun 17.

Authors

Hirmand Nouraei¹, Avi Ostry², Jonathon A Leipsic³, Zachary Laksman⁴

Affiliations

¹ Department of Internal Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
² Department of Pathology and Laboratory Medicine, St Paul's Hospital, Vancouver, British Columbia, Canada.
³ Department of Radiology, St Paul's Hospital, Vancouver, British Columbia, Canada.
⁴ Department of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: zlaksman@mail.ubc.ca.

PMID: 34147623
DOI: 10.1016/j.cjca.2021.06.010

Abstract

Lymphocytic myocarditis (LM) is a rare condition with a broad spectrum of clinical presentations. Complete heart block (CHB) is an uncommon sequela. We present a case of a young man with biopsy-proven LM who presented with cardiogenic shock and went on to develop nonresolving CHB, requiring permanent pacemaker implantation.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Biopsy
Electrocardiography*
Heart Block / diagnosis
Heart Block / etiology
Heart Block / therapy*
Humans
Lymphocytes / pathology*
Magnetic Resonance Imaging, Cine / methods
Male
Myocarditis / complications
Myocarditis / diagnosis*
Myocarditis / therapy
Myocardium / pathology*
Pacemaker, Artificial*