title: Reversible complete atrioventricular block in patient with wegener's granulomatosis - a report on fortunate outcome with long term follow-up.
abstract: Reversible complete atrioventricular block in patient with Wegener's granulomatosis - a report on a positive outcome with long term follow-up. Atrioventricular (AV) block is a rare complication of Wegener's granulomatosis (WG), thus there are no standards of management in such cases. We present a case of a patient with a dual-chamber pacemaker (DDD) implanted due to complete AV block in the course of Wegener's granulomatosis (WG). An immunosuppressive therapy resulted in the resolution of non-cardiac and AV conduction disorders. The diagnostic functions of the pacemaker enabled us to evaluate AV conduction over a five-year follow-up period. The resolution of AV conduction disorders, which accompanied WG remission, suggests that careful monitoring with temporary cardiac pacing may be considered in some patients before permanent pacemaker implantation.
authors.affiliation: Department of Cardiology, Medical University of Warsaw, Poland.
authors.forename: Roman
authors.initials: R
authors.lastname: Steckiewicz
authors.affiliation: Department of Cardiology and Hypertension, Central Clinical Hospital , the Ministry of the Interior and Administration, Warsaw , Poland, Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Rosiak
authors.affiliation: Department of Cardiology, Medical University of Warsaw, Poland.
authors.forename: Przemysław
authors.initials: P
authors.lastname: Stolarz
authors.affiliation: Department of Cardiology, Central University Hospital in Warsaw, Poland.
authors.forename: Elżbieta B
authors.initials: EB
authors.lastname: Świętoń
authors.affiliation: Department of Cardiology, Medical University of Warsaw, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Grabowski
authors.affiliation: Faculty of Medicine, Lazarski University, Warsaw, Poland.
authors.forename: Dariusz A
authors.initials: DA
authors.lastname: Kosior
mesh_terms: D054537:Atrioventricular Block / Q000209:etiology* / Q000276:immunology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D007165:Immunosuppression Therapy; D008875:Middle Aged; D010138:Pacemaker, Artificial
keywords:  follow-up;  immunosuppresive treatment;  reversible atrioventricular block; atrioventricular conduction