Open AccessTransient severe conduction disturbances associated with ankylosing spondylitis
Author(s) -
Ikeoka Kuniyasu,
Nishikawa Nagahiro,
Sakakibara Masayuki,
Kawamoto Keisuke,
Hoshida Shiro
Publication year - 2019
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12218
Subject(s) - medicine , ankylosing spondylitis , atrioventricular block , heart block , cardiology , magnetic resonance imaging , electrocardiography , radiology
A 46‐year‐old man presented with advanced and complete atrioventricular block. He was diagnosed with human leukocyte antigen‐B27‐positive ankylosing spondylitis (AS) and treated with nonsteroidal anti‐inflammatory drugs for AS. The severe atrioventricular block spontaneously improved and resolved after 3 months of therapy. Sequential cardiac magnetic resonance imaging demonstrated transient myocardial high‐intensity signals in the basal septum close to the membranous portion of the septum. A pacemaker was not needed because of the reversible atrioventricular block.