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- Title
Spontaneous Remission of Congenital Complete Atrioventricular Block in Anti-Ro/La Antibody-Negative Monozygotic Twins: Case Report.
- Authors
Kasar, Taner; Saygı, Murat; Özyılmaz, İsa; Ergül, Yakup
- Abstract
Background: Congenital complete atrioventricular block without any structural heart disease and anti-Ro/La negativity is very rare. Discordant complete atrioventricular block, which is more frequently defined in the literature as an autoimmune mechanism, is much more rare in monozygotic twins. Case Report: The 26-year-old healthy mother had given birth in her first spontaneous, uneventful pregnancy to monozygotic twins at week 35. While the first twin's physical examination proved her to be normal with a pulse rate consistent with her age, the second twin had a pulse rate of approximately 40 beats/minute. The patient was confirmed to have congenital complete atrioventricular block. Conclusion: Despite this case appears to be an isolated one, a discordant complete atrioventricular block regression without any autoimmune evidence should be included in the differential diagnosis of bradycardia in infants.
- Subjects
HEART block; CONGENITAL heart disease; TWINS; DISEASE remission; DIAGNOSIS
- Publication
Balkan Medical Journal, 2017, Vol 34, Issue 1, p71
- ISSN
2146-3123
- Publication type
Article
- DOI
10.4274/balkanmedj.2015.0535