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Acute Rheumatic Fever with Advanced Degree AV Block

Department of Pediatrics University of Hawaii, John A. Burns School of Medicine, Kapiolani Medical Center For Women and Children, Honolulu, Hawaii

L.T. Chun, MD

Department of Pediatrics University of Hawaii, John A. Burns School of Medicine, Kapiolani Medical Center For Women and Children, Honolulu, Hawaii

Loren G. Yamamoto, MD

Department of Pediatrics University of Hawaii, John A. Burns School of Medicine, Kapiolani Medical Center For Women and Children, Honolulu, Hawaii

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.

Clinical Pediatrics, Vol. 28, No. 7, 326-328 (1989)
DOI: 10.1177/000992288902800706


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