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Cardiac arrhythmias as the initial manifestation of adult primary Sjögren's syndrome: a case report and literature review
Author(s) -
Liang Minrui,
Bao Liwen,
Xiong Nanqing,
Jin Bo,
Ni Huanchun,
Zhang Jinjin,
Zou Hejian,
Luo Xinping,
Li Jian
Publication year - 2015
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.12616
Subject(s) - medicine , cardiology , prednisone , atrioventricular node , electrical conduction system of the heart , cardiac arrhythmia , electrocardiography , conduction abnormalities , electrophysiology study , atrial fibrillation , tachycardia , catheter ablation
Two middle‐aged female patients presenting with heart palpitation and electrocardiogram revealed complex cardiac arrhythmias. A review of systems was positive for dry mouth and transient arthralgia, while laboratory and instrumental tests enabled us to make the diagnosis of primary Sjögren's syndrome (pSS). Cardiac electrophysiology revealed atrioventricular node dysfunction and impaired intraventricular conduction. Prednisone therapy induced a significant improvement in symptoms and electrocardiographic readings. The diagnosis of pSS should be considered in a patient presenting with complex cardiac arrhythmias.