Systemic Diseases and Heart Block.
Amyloidosis
Atrioventricular node
Heart block
Muscular dystrophies
Rheumatologic disorders
Sarcoidosis
Systemic lupus erythematosus
Thyroid disorders
Journal
Cardiac electrophysiology clinics
ISSN: 1877-9190
Titre abrégé: Card Electrophysiol Clin
Pays: United States
ID NLM: 101549998
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
entrez:
25
10
2021
pubmed:
26
10
2021
medline:
1
1
2022
Statut:
ppublish
Résumé
Systemic diseases can cause heart block owing to the involvement of the myocardium and thereby the conduction system. Younger patients (<60) with heart block should be evaluated for an underlying systemic disease. These disorders are classified into infiltrative, rheumatologic, endocrine, and hereditary neuromuscular degenerative diseases. Cardiac amyloidosis owing to amyloid fibrils and cardiac sarcoidosis owing to noncaseating granulomas can infiltrate the conduction system leading to heart block. Accelerated atherosclerosis, vasculitis, myocarditis, and interstitial inflammation contribute to heart block in rheumatologic disorders. Myotonic, Becker, and Duchenne muscular dystrophies are neuromuscular diseases involving the myocardium skeletal muscles and can cause heart block.
Identifiants
pubmed: 34689899
pii: S1877-9182(21)00068-X
doi: 10.1016/j.ccep.2021.06.011
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
721-740Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure Dr W.Z. Tzou is a consultant for or has received speaker honoraria, or research funding from Abbott, American Heart Association, Biosense Webster, Biotronik, Boston Scientific, and Medtronic. Dr S.R.A. Sabzwari has no relevant disclosures.