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Case Report

JCDR. 2019; 10(2): 71-72


A Rare Presentation of Wegners Granulomatosis as Complete Heart Block

Rahul Singla, Nagesh Waghmare, Aniruddha Kaushik, Anil Kumar, Narendra Bansal.


Abstract

Cardiac involvement is seen in 6 to 25% Wegener’s 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
Wegener’s 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.






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