10.6084/m9.figshare.5668327.v1
Laryssa Passos Sarmento Santos
Laryssa Passos Sarmento
Santos
Victor Guerreiro Bomfim
Victor Guerreiro
Bomfim
Camila Fagundes Bezerra
Camila Fagundes
Bezerra
Natália Vieira Costa
Natália Vieira
Costa
Rafael Barreto Paes de Carvalho
Rafael Barreto Paes de
Carvalho
Ricardo Sobral de Carvalho
Ricardo Sobral de
Carvalho
Rogério da Hora Passos
Rogério da Hora
Passos
Olivia Carla Bomfim Boaventura
Olivia Carla Bomfim
Boaventura
André Luiz Nunes Gobatto
André Luiz Nunes
Gobatto
Heart conduction system defects and sustained ventricular tachycardia complications in a patient with granulomatosis with polyangiitis. A case report and literature review
SciELO journals
2017
Granulomatosis with polyangiitis
Atrioventricular block
Heart conduction system
Pacemaker, artificial
Bradycardia
Case reports
2017-12-05 09:32:45
Dataset
https://scielo.figshare.com/articles/dataset/Heart_conduction_system_defects_and_sustained_ventricular_tachycardia_complications_in_a_patient_with_granulomatosis_with_polyangiitis_A_case_report_and_literature_review/5668327
<p></p><p>ABSTRACT Granulomatosis with polyangiitis is a rare systemic inflammatory disorder characterized by vasculitis of the small arteries, the arterioles and the capillaries together with necrotizing granulomatous lesions. This case reports on a young female patient, previously diagnosed with granulomatosis with polyangiitis, who was admitted to the intensive care unit with seizures and hemodynamic instability due to a complete atrioventricular heart block. The event was associated with multiple episodes of sustained ventricular tachycardia without any structural heart changes or electrolyte disturbances. In the intensive care unit, the patient was fitted with a provisory pacemaker, followed by immunosuppression with corticosteroids and immunobiological therapy, resulting in a total hemodynamic improvement. Severe conduction disorders in patients presenting granulomatosis with polyangiitis are rare but can contribute to increased morbidity. Early detection and specific intervention can prevent unfavorable outcomes, specifically in the intensive care unit.</p><p></p>