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CASE REPORT
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 29-31

High-grade atrioventricular block requiring pacemaker implantation after cardiac transplantation: An unusual complication


1 Department of Cardiology, Max Healthcare Institute Limited, New Delhi, India
2 Department of Cardiology, Max Super Speciality Hospital, New Delhi, India
3 Department of CTVS, Max Super Speciality Hospital, New Delhi, India

Correspondence Address:
Dr. K K Talwar
Department of Cardiology, Max Healthcare Institute Limited, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCA.IJCA_28_18

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Self-limited bradyarrhythmias are commonly seen in postorthotopic heart transplantation patients. The most common cause of such bradyarrhythmias is sinus node dysfunction. Atrioventricular (AV) nodal blocks requiring pacemaker implantation remain distinctly uncommon. After ruling out reversible causes including dyselectrolytemia and drug toxicity, prolonged ischemia time of donor heart and transplant rejection should be considered as possible causes. The present case describes an uncommon occurrence of persistent high-grade AV block in postheart transplantation period ultimately requiring permanent pacemaker implantation.


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