Journal of Heart and Cardiology
A case report of myocarditis and sinus arrest
Medipol University Faculty of Medicine, Cardiology Department, Istanbul, Turkey
Filiz Kizilirmak YÄ±lmaz M.D. Medipol University Hospital, Cardiology Department, TEM Avrupa Otoyolu Göztepe ÇÄ±kÄ±ÅŸÄ± No: 1, BaÄŸcÄ±lar 34214, Istanbul, TURKEY, Phone: (90) 505 586 17 28; Fax: (90) 212-460-70-70; E-mail: firstname.lastname@example.org
Filiz Kizilirmak Y?lmaz., et al. A Case Report of Myocarditis and Sinus Arrest. (2016) J Heart Cardiol 2(1): 46- 49.
© 2016 Filiz Kizilirmak YÄ±lmaz. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
KeywordsMyocarditis; Syncope; Sinus arrest
Background: Myocarditis is a focal or diffuse inflammatory disease of the myocardium. Prevalence of arrhythmia associated with myocarditis has been reported as merely 18%. Sinus arrhythmias in myocarditis are uncommon.
Case report: Here we describe a case of a 33-years-old female patient with myocarditis. She developed sinus arrest lasting for 15 seconds and lost consciousness and a seizure was observed in that period. A new rhythm occurred spontaneously. Temporary transvenous pacemaker lead was implanted due to recurrent sinus pause episodes. The patient was on sinus rhythm on the third day of admission. Cardiac Magnetic Resonance Imaging (CMRI) showed subendocardial enhancement, highly consistent with acute myocarditis. The patient was discharged with normal sinus rhythm.
Why should an emergency physician be aware of this? The patients with myocarditis should be closely monitored in order to life-threatening arrhythmias.