Clinical Rheumatology

, Volume 25, Issue 4, pp 551–552 | Cite as

Complete heart block in a patient with systemic sclerosis

  • I. MoyssakisEmail author
  • D. P. Papadopoulos
  • A. G. Tzioufas
  • V Votteas
Brief Report


We describe a patient with diffuse systemic sclerosis and presyncopal episodes where the electrocardiogram revealed complete atrioventricular heart block associated with left posterior and right heart bundle block. The patient underwent implantation of a permanent pacemaker.


Complete heart block-Systemic sclerosis 


  1. 1.
    Deswal A, Follansbee WP (1996) Cardiac involvement in scleroderma. Rheum Dis Clin North Am 22:841–861CrossRefPubMedGoogle Scholar
  2. 2.
    Mizuno R, Fujimoto S, Nakano H, Nakajima T, Kimura A, Nakagawa Y, Dohl K (1997) Atrial conduction abnormalities in patients with systemic progressive sclerosis. Eur Heart J 18:1995–2001PubMedGoogle Scholar
  3. 3.
    Bennet R, Bluestone R, Holt PJL, Bywaters EGL (1971) Survival in scleroderma. Ann Rheum Dis 30:581–588CrossRefGoogle Scholar
  4. 4.
    Ridolfi RL, Bulkley BH, Hutchins GM (1976) The cardiac conduction system in progressive systemic sclerosis. Clinical and pathologic features of 35 patients. Am J Med 61:361–366CrossRefPubMedGoogle Scholar
  5. 5.
    Roberts NK, Cabeen WR, Moss J, Clements PJ, Furst DE (1981) The prevalence of conduction defects and cardiac arrhythmias in progressive systemic sclerosis. Ann Intern Med 4:38–40PubMedGoogle Scholar
  6. 6.
    Follansbee W, Curtiss E, Rahko P, Medsger T, Lavine S, Owens G, Steen V (1985) The electrocardiogram in systemic sclerosis (Scleroderma). Am J Med 9:183–192CrossRefPubMedGoogle Scholar
  7. 7.
    Raynaud R, Benatre A, Brochier M, Morand P, Raynaud P (1967) Scleroderma heart and complete auriculo-ventricular block. Arch Mal Coeur Vaiss 60:1865–1870PubMedGoogle Scholar
  8. 8.
    Anuar M, Singham KT (1983) Systemic scleroderma with complete heart block. Med J Malaysia 38:65–67PubMedGoogle Scholar
  9. 9.
    Mory B, Luquel L, Catanese V, Offenstadt G (1988) Complete atrioventricular dissociation in a patient with systemic scleroderma. Presse Med 17:590–592PubMedGoogle Scholar
  10. 10.
    Lev M, Landowne M, Matchar J, Wagner J (1966) Systemic scleroderma with complete heart block. Am Heart J 72:13–24CrossRefPubMedGoogle Scholar
  11. 11.
    Loperfido F, Fiorilli R, Santarelli P, Bellocci F, Zecchi P (1982) Severe involvement of the conduction system in a patient with sclerodermal heart disease. An electrophysiological study. Acta Cardiol 37:31–38PubMedGoogle Scholar
  12. 12.
    Volta U, Villecco AS, Bianchi FB, Varotti C, Cassani F, Lenzi M, Veronesi S, Tosti A, Pisi E (1981) Antibodies to cardiac conducting tissue in progressive systemic sclerosis. Clin Exp Immunol 43:478–485PubMedGoogle Scholar

Copyright information

© Clinical Rheumatology 2005

Authors and Affiliations

  • I. Moyssakis
    • 1
    Email author
  • D. P. Papadopoulos
    • 1
  • A. G. Tzioufas
    • 2
  • V Votteas
    • 1
  1. 1.Department of CardiologyLaiko Hospital of AthensAthensGreece
  2. 2.Pathophysiology Department, School of MedicineUniversity of AthensAthensGreece

Personalised recommendations