title: Acute rheumatic fever with advanced degree AV block.
abstract: Five cases are described of acute rheumatic fever meeting the modified Jones criteria with evidence of second or third degree atrioventricular block (AVB). One patient required a temporary transvenous pacemaker and two patients were treated with corticosteroids. One patient had an associated valvulitis. There was no long-term sequelae due to the AVB in any of the patients. The duration of the advanced degree AVB had a range of about 2 to 12 days. The cause of this advanced degree AVB is uncertain. Advanced degree AVB with acute rheumatic fever appears to be self-limited in most instances. Unlike rheumatic valvulitis, it is not associated with significant permanent morbidity.
authors.affiliation: Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapiolani Medical Center For Women and Children, Honolulu.
authors.forename: D V
authors.initials: DV
authors.lastname: Reddy
authors.forename: L T
authors.initials: LT
authors.lastname: Chun
authors.forename: L G
authors.initials: LG
authors.lastname: Yamamoto
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D002304:Cardiac Pacing, Artificial; D005260:Female; D006327:Heart Block / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D012213:Rheumatic Fever / Q000150:complications* / Q000175:diagnosis
chemical_list: D000305:Adrenal Cortex Hormones