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Adams Stokes Attack

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Aldo Agnetti – One of the best experts on this subject based on the ideXlab platform.

  • AdamsStokes Attack as the first symptom of acute rheumatic fever: report of an adolescent case and review of the literature
    Italian Journal of Pediatrics, 2012
    Co-Authors: Nicola Carano, Ilaria Bo, Bertrand Tchana, Erica Vecchione, Silvia Fantoni, Aldo Agnetti

    Abstract:

    Background Acquired complete heart block, in pediatric age is mainly the results of direct injury to conduction tissue during cardiac surgery or cardiac catheterisation. It can also be observed in different clinical settings as infectious diseases, neoplasia, and inflammatory diseases. It has a wide range of presentation and in some settings it can appear a dramatic event. Although a rare finding during acute rheumatic fever, with a transient course, it may need a specific and intensive treatment. Case presentation We report the case of an AdamsStokes Attack in an adolescent with acute rheumatic carditis and complete atrio-ventricular block. The Attack was the first symptom of carditis. We reviewed the literature and could find 25 cases of complete atrio-ventricular block due to rheumatic fever. Ten of the 25 patients experienced an AdamsStokes Attack. Nineteen of the 25 patients were certainly in the pediatric age group. Seven of the 19 pediatric cases experienced an AdamsStokes Attack. In 16/25 cases, the duration of the atrio-ventricular block was reported: it lasted from a few minutes to ten days. Pacemaker implantation was necessary in 7 cases. Conclusion Rheumatic fever must be kept in mind in the diagnostic work-up of patients with acquired complete atrio-ventricular block, particularly when it occurs in pediatric patients. The insertion of a temporary pacemaker should be considered when complete atrio-ventricular block determines AdamsStokes Attacks. Complete heart block during acute rheumatic fever is rare and is usually transient. Along with endocarditis, myocarditis and pericarditis, complete atrio-ventricular block has been recognized, rarely, during the course of acute rheumatic carditis.

  • Adams Stokes Attack as the first symptom of acute rheumatic fever report of an adolescent case and review of the literature
    Italian Journal of Pediatrics, 2012
    Co-Authors: Nicola Carano, Ilaria Bo, Bertrand Tchana, Erica Vecchione, Silvia Fantoni, Aldo Agnetti

    Abstract:

    Background
    Acquired complete heart block, in pediatric age is mainly the results of direct injury to conduction tissue during cardiac surgery or cardiac catheterisation. It can also be observed in different clinical settings as infectious diseases, neoplasia, and inflammatory diseases. It has a wide range of presentation and in some settings it can appear a dramatic event. Although a rare finding during acute rheumatic fever, with a transient course, it may need a specific and intensive treatment.

Nicola Carano – One of the best experts on this subject based on the ideXlab platform.

  • AdamsStokes Attack as the first symptom of acute rheumatic fever: report of an adolescent case and review of the literature
    Italian Journal of Pediatrics, 2012
    Co-Authors: Nicola Carano, Ilaria Bo, Bertrand Tchana, Erica Vecchione, Silvia Fantoni, Aldo Agnetti

    Abstract:

    Background Acquired complete heart block, in pediatric age is mainly the results of direct injury to conduction tissue during cardiac surgery or cardiac catheterisation. It can also be observed in different clinical settings as infectious diseases, neoplasia, and inflammatory diseases. It has a wide range of presentation and in some settings it can appear a dramatic event. Although a rare finding during acute rheumatic fever, with a transient course, it may need a specific and intensive treatment. Case presentation We report the case of an AdamsStokes Attack in an adolescent with acute rheumatic carditis and complete atrio-ventricular block. The Attack was the first symptom of carditis. We reviewed the literature and could find 25 cases of complete atrio-ventricular block due to rheumatic fever. Ten of the 25 patients experienced an AdamsStokes Attack. Nineteen of the 25 patients were certainly in the pediatric age group. Seven of the 19 pediatric cases experienced an AdamsStokes Attack. In 16/25 cases, the duration of the atrio-ventricular block was reported: it lasted from a few minutes to ten days. Pacemaker implantation was necessary in 7 cases. Conclusion Rheumatic fever must be kept in mind in the diagnostic work-up of patients with acquired complete atrio-ventricular block, particularly when it occurs in pediatric patients. The insertion of a temporary pacemaker should be considered when complete atrio-ventricular block determines AdamsStokes Attacks. Complete heart block during acute rheumatic fever is rare and is usually transient. Along with endocarditis, myocarditis and pericarditis, complete atrio-ventricular block has been recognized, rarely, during the course of acute rheumatic carditis.

  • Adams Stokes Attack as the first symptom of acute rheumatic fever report of an adolescent case and review of the literature
    Italian Journal of Pediatrics, 2012
    Co-Authors: Nicola Carano, Ilaria Bo, Bertrand Tchana, Erica Vecchione, Silvia Fantoni, Aldo Agnetti

    Abstract:

    Background
    Acquired complete heart block, in pediatric age is mainly the results of direct injury to conduction tissue during cardiac surgery or cardiac catheterisation. It can also be observed in different clinical settings as infectious diseases, neoplasia, and inflammatory diseases. It has a wide range of presentation and in some settings it can appear a dramatic event. Although a rare finding during acute rheumatic fever, with a transient course, it may need a specific and intensive treatment.

Takanori Ueda – One of the best experts on this subject based on the ideXlab platform.

  • Adams Stokes Attack due to complete atrioventricular block in a patient with acute promyelocytic leukemia during remission induction therapy using all trans retinoic acid
    The Japanese journal of clinical hematology, 2005
    Co-Authors: Takahiro Yamauchi, Hajime Arai, Masahiro Taga, Naoki Amaya, Takanori Ueda

    Abstract:

    : We describe a case of AdamsStokes syncope due to complete atrioventricular block which occurred in a leukemic patient receiving all-trans retinoic acid (ATRA). Remission induction therapy was performed for a 46-year-old Japanese man with acute promyelocytic leukemia using ATRA (45 mg/m2), enocitabine (170 mg/m2, 5 days), and mitoxantrone (4 mg/m2, 3 days). On the 25th day of chemotherapy, syncope suddenly occurred. Electrocardiography revealed a complete atrioventricular block, and a temporary pacemaker was inserted on the following day. The block was persistent and the cardiac rhythm was dependent on the pacemaker. ATRA was discontinued on the 29th day because the arrhythmia was believed to be an adverse reaction to the ATRA regimen. The normal sinus rhythm was restored 15 days thereafter, and the patient eventually reached remission. He subsequently received 4 courses of consolidation therapy without any cardiovascular complications. Although ATRA sometimes induces arrhythmias, to the best of our knowledge this is the first report in the literature of such a critical ATRA-related arrhythmia.