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December 2024 Br J Cardiol 2024;31(4) doi:10.5837/bjc.2024.055 Online First

A case of myocarditis and associated atrioventricular heart block: a diagnostic conundrum

Louis Graham-Hart, Wai Nyunt Thinn, Kaushik Guha

Abstract

Introduction Atrioventricular (AV) block is an uncommon complication of myocarditis, which is most often observed in combination with underlying conditions such as that caused by cardiac sarcoidosis (CS), giant cell myocarditis (GCM) and acute lymphocytic myocarditis. Myocarditis is a broad term that describes inflammation of the myocardium, which can range from mild and self-limiting to fulminant variants that require cardiac transplantation. Patients with proven GCM and CS may benefit from immunosuppression, and it is important to investigate for underlying infiltrative disease in cases of myocarditis and AV block as specific treatments ma

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