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Transient severe conduction disturbances associated with ankylosing spondylitis.

Kuniyasu IkeokaNagahiro NishikawaMasayuki SakakibaraKeisuke KawamotoShiro Hoshida
Published in: Journal of arrhythmia (2019)
A 46-year-old man presented with advanced and complete atrioventricular block. He was diagnosed with human leukocyte antigen-B27-positive ankylosing spondylitis (AS) and treated with nonsteroidal anti-inflammatory drugs for AS. The severe atrioventricular block spontaneously improved and resolved after 3 months of therapy. Sequential cardiac magnetic resonance imaging demonstrated transient myocardial high-intensity signals in the basal septum close to the membranous portion of the septum. A pacemaker was not needed because of the reversible atrioventricular block.
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