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Int J Clin Pract. 2000 Oct;54(8):544-5.

Progressive heart block in active rheumatoid arthritis.

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Department of Geriatric Medicine, Wrexham Maelor Hospital, Wrexham, UK.


A 68-year-old woman presented with active rheumatoid arthritis (RA) and severe extra-articular manifestations. During the course of her treatment, her electrocardiogram (ECG) transformed from normal sinus rhythm to left bundle branch block and finally to complete heart block (CHB). Investigations ruled out an ischaemic event. A permanent pacemaker was inserted due to the symptoms of heart failure and she made an uneventful recovery. CHB in RA is probably a marker of severity of the disease.

[Indexed for MEDLINE]

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