Abstract
Abstract
The relationship between uric acid levels and cardiovascular disease has been known since the 19th century and many reports do exist in the literature that show the association of increased uric acid levels with gout, hypertension, obesity and cardiovascular disease. However, atrioventricular block was rarely reported in relation with, which can usually be resolved with antiinflamatory and uric acid lowering therapies. Here, we reported a patient with gout attack and complete atrioventricular block. Atrioventricular conduction improved after antiinflamatory and uric acid lowering therapy in our patient and the patient did not require a permanent pacemaker.
Keywords: Hyperuricemia, atrioventricular block, gout
Özet
Ürik asit düzeyleri ve kardiyovasküler hastalık ilişkisi ondokuzuncu yüzyıldan beri bilinmektedir ve artmış ürik asit seviyelerini literatürde gut, hipertansiyon, obezite ve kardiyovasküler hastalıklar ile ilişkilendiren çok sayıda makale bulunmaktadır. Tüm bunların yanında ürik asit düşürücü ve antiinflamatuar tedavi ile düzelebilen atriyoventriküler blok nadiren bildirilmiştir. Biz burada eş zamanlı olarak gut atağı ve atriyoventriküler blok olan bir hastayı sunduk. Hastamızda antiinflamatuar ve ürik asit düşürücü tedavi sonrası atriyoventriküler iletim düzeldi ve hasta kalıcı pil ihtiyacı göstermedi.
Anahtar sözcükler: Hiperürisemi, atriyoventriküler blok, gutKeywords
References
- Virtanen KS, Halonen PI. Total heart block as a complication of gout. Cardiologia 1969; 54: 359-63.
- Laurens P, Gavelle P, Maurice P, Dubost C. Incidence of hyperuricemia in atrioventricular block. Systematic study of 158 cases which required implantation of an isotopic cardiac pacemaker. Arch Mal Coeur Vaiss 1978; 71: 922-8.
- Laurens P, Gavelle P, Maurice P. Occurrence of hyperuricemia in atrioventricular block. (Results of a study of 158 patients with isotopic pacemaker implantations. C R Acad Sci Hebd Seances Acad Sci D 1976; 27; 283: 1257-60.
- Talbott, J. H.: Gout, 3rd ed. (GRUne & Stratton, New York 1967).
- De Vera MA, Rahman MM, Bhole V, Kopec JA, Choi HK. Independent impact of gout on the risk of acute myocardial infarction among elderly women: a population-based study. Ann Rheum Dis 2010; 69: 1162-4.
- Gagliardi AC, Miname MH, Santos RD. Uric acid: A marker of increased cardiovascular risk. Atherosclerosis 2009; 202: 11-7.
- Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42: 1206-52.
Abstract
Ürik asit düzeyleri ve kardiyovasküler hastalık ilişkisi ondokuzuncu yüzyıldan beri bilinmektedir ve artmış ürik asit seviyelerini literatürde gut, hipertansiyon, obezite ve kardiyovasküler hastalıklar ile ilişkilendiren çok sayıda makale bulunmaktadır. Tüm bunların yanında ürik asit düşürücü ve antiinflamatuar tedavi ile düzelebilen atriyoventriküler blok nadiren bildirilmiştir. Biz burada eş zamanlı olarak gut atağı ve atriyoventriküler blok olan bir hastayı sunduk. Hastamızda antiinflamatuar ve ürik asit düşürücü tedavi sonrası atriyoventriküler iletim düzeldi ve hasta kalıcı pil ihtiyacı göstermedi
Keywords
References
- Virtanen KS, Halonen PI. Total heart block as a complication of gout. Cardiologia 1969; 54: 359-63.
- Laurens P, Gavelle P, Maurice P, Dubost C. Incidence of hyperuricemia in atrioventricular block. Systematic study of 158 cases which required implantation of an isotopic cardiac pacemaker. Arch Mal Coeur Vaiss 1978; 71: 922-8.
- Laurens P, Gavelle P, Maurice P. Occurrence of hyperuricemia in atrioventricular block. (Results of a study of 158 patients with isotopic pacemaker implantations. C R Acad Sci Hebd Seances Acad Sci D 1976; 27; 283: 1257-60.
- Talbott, J. H.: Gout, 3rd ed. (GRUne & Stratton, New York 1967).
- De Vera MA, Rahman MM, Bhole V, Kopec JA, Choi HK. Independent impact of gout on the risk of acute myocardial infarction among elderly women: a population-based study. Ann Rheum Dis 2010; 69: 1162-4.
- Gagliardi AC, Miname MH, Santos RD. Uric acid: A marker of increased cardiovascular risk. Atherosclerosis 2009; 202: 11-7.
- Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42: 1206-52.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 21, 2012 |
| Published in Issue | Year 2012Volume: 34 Issue: 3 |