GEORGE R. MOFFITT JR., M.D., F.A.C.P.
In most studies of disseminated lupus erythematosus over 50% of patients demonstrate some type of cardiac involvement. Thus Hejtmancik, Wright, Quint, and Jennings (1) found cardiac involvement in 58% of 142 cases. "Myocarditis" and pericarditis constitute the most frequently observed cardiac manifestations. Five cases of bundle branch block and one case of paroxysmal atrial tachycardia with atrioventricular block (considered due to digitalis toxicity) were reported by Hejtmancik and associates (1). Complete atrioventricular block with Stokes-Adams seizures has not been reported to have been caused by disseminated lupus erythematosus. Lev (2) does not include it as a cause of complete atrioventricular
MOFFITT GR. Complete Atrioventricular Dissociation with Stokes-Adams Attacks Due to Disseminated Lupus Erythematosus: Report of a Case. Ann Intern Med. ;63:508–511. doi: 10.7326/0003-4819-63-3-508
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Published: Ann Intern Med. 1965;63(3):508-511.
Lupus Erythematosus, Rheumatology.
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