Intermittent complete atrioventricular block masquerading as epilepsy in the mitral valve prolapse syndrome

D. Woodley; W. Chambers; H. Starke; B. Dzindzio; A. D. Forker

doi:10.1378/chest.72.3.369

Intermittent complete atrioventricular block masquerading as epilepsy in the mitral valve prolapse syndrome

D. Woodley, W. Chambers, H. Starke, B. Dzindzio, A. D. Forker

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

A 24-yr-old white man had a history of 'epilepsy' since the age of 8 yr. Prolapse of the mitral valve was documented by auscultation and echocardiographic and left ventriculographic studies. At 120 hr after stopping therapy with phenobarbital and diphenylhydantoin (Dilantin) sodium, continuous electrocardiographic monitoring (Holter monitor) revealed episodes of complete atrioventricular block lasting up to 23 sec. The results of hemodynamic studies were normal. The patient's symptoms were all totally corrected by implantation of an epicardial demand pacemaker. This report raises the possibility that sudden death in association with the mitral valve prolapse syndrome may be due to intermittent severe disturbances in conduction, in addition to ventricular arrhythmias.

Original language	English (US)
Pages (from-to)	369-372
Number of pages	4
Journal	Unknown Journal
Volume	72
Issue number	3
DOIs	https://doi.org/10.1378/chest.72.3.369
State	Published - 1977

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

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10.1378/chest.72.3.369

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abstract = "A 24-yr-old white man had a history of 'epilepsy' since the age of 8 yr. Prolapse of the mitral valve was documented by auscultation and echocardiographic and left ventriculographic studies. At 120 hr after stopping therapy with phenobarbital and diphenylhydantoin (Dilantin) sodium, continuous electrocardiographic monitoring (Holter monitor) revealed episodes of complete atrioventricular block lasting up to 23 sec. The results of hemodynamic studies were normal. The patient's symptoms were all totally corrected by implantation of an epicardial demand pacemaker. This report raises the possibility that sudden death in association with the mitral valve prolapse syndrome may be due to intermittent severe disturbances in conduction, in addition to ventricular arrhythmias.",

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AU - Chambers, W.

AU - Starke, H.

AU - Dzindzio, B.

AU - Forker, A. D.

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Intermittent complete atrioventricular block masquerading as epilepsy in the mitral valve prolapse syndrome

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