Total AV Block in Amyotrophic Lateral Sclerosis

DOI

10.2991/978-94-6463-048-0_22How to use a DOI?

Keywords

Amyotrophic Lateral Sclerosis; AV block; bradyarrhythmia

Abstract

Bradyarrhythmia can be a life-threatening condition that mandates quick and proper responses and acts from a clinician. Furthermore, bradyarrhythmia management should not stop only in increasing the patient heart rate, but also to find the etiologies that caused this condition. Etiologies of bradyarrhythmia range from pathological conditions that solely affect the heart to systemic and multi-organ processes. Permanent pacemaker implantation is generally needed when the condition underlying the bradyarrhythmia is irreversible. On the other hand, correction of reversible causes might avoid patients from unnecessary permanent pacemaker implantation. This study aims to present a unique case of bradyarrhythmia with rare etiology. Case summary: a young man with total AV block accompanied by hemodynamic disturbance. Other symptoms include general weakness and significant loss of body weight. Magnetic Resonance Imaging can’t be performed in this patient since early transvenous temporary pacemaker implantation was mandated. ENMG examination was performed as an alternative. Results: The ENMG results showed a decrease in motoric wave amplitude, pathological wave was observed in the deltoid muscle, dorsal interosseous, and in the right part of the tongue, while sensory wave showed a normal amplitude. These findings are consistent with the ENMG pattern of definite Amyotrophic Lateral Sclerosis. Since the underlying disease of the total AV block is considered irreversible, permanent pacemaker implantation was performed in this patient. The bradyarrhythmia management must not stop only in the measure of increasing heart rate, but also should include the efforts of searching the underlying etiology thoroughly.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Yudhie Tanta
AU  - Ali Ghanie
AU  - Andika Okparasta
AU  - Taufik Indrajaya
AU  - Erwin Sukandi
PY  - 2022
DA  - 2022/12/19
TI  - Total AV Block in Amyotrophic Lateral Sclerosis
BT  - Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021)
PB  - Atlantis Press
SP  - 191
EP  - 195
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-048-0_22
DO  - 10.2991/978-94-6463-048-0_22
ID  - Tanta2022
ER  -