Hepatitis A viral infection can be associated with viral myocarditis and complete heart block that can lead to cardiogenic shock and death.
Alerts to rare fatal myocarditis with AV block in hepatitis A; leaves open need for cardiac evaluation in severe infection.
Hepatitis A virus (HAV) infection can cause extra-hepatic manifestations like myocarditis. An 8-year-old female with HAV infection presented with fever, abdominal pain, vomiting, and icterus. She developed viral myocarditis with complete AV dissociation on ECG and was treated with a temporary pacemaker, but her condition worsened, and she died. Hepatitis A viral infection can be associated with viral myocarditis and complete heart block that can lead to cardiogenic shock and death eventually.
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Ahmed et al. (2024) studied this question.
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