A Rare Presentation of Wegners Granulomatosis as Complete Heart BlockRahul Singla, Nagesh Waghmare, Aniruddha Kaushik, Anil Kumar, Narendra Bansal.
Cardiac involvement is seen in 6 to 25% Wegeners granulomatosis, but very rarely it can involve the conduction system
and manifest as complete heart block. Earlier most of the case reports were with systemic variant rather than a limited
variant. We report a case of complete Heart Block (3rd degree) in a case of limited Wegner granulomatosis which was
treated with Permanent Pacemaker Implantation. Complete AV block is a rare but treatable manifestation of cardiac involvement
of wegners granulomatosis usually associated with early active systemic disease. All patients diagnosed with
Wegeners granulomatosis should be screened with a baseline electrocardiogram and a transthoracic echocardiogram to
document cardiac involvement and alert clinicians to those at risk of further cardiac complications.
Key words: Wegners granulomatosis, ECG, Complete heart block, Permanent pacemaker implantation, Nasal biopsy.