Key result
Isolated interventricular septal tuberculoma causes complete heart block presenting with severe bradycardia.
Why the study?
Isolated interventricular septal tuberculoma causing complete heart block is a rare clinical presentation requiring detailed case description.
Isolated interventricular septal tuberculoma is a rare condition that can present as complete heart block requiring pacemaker insertion.
Clinicians should consider tuberculoma in unexplained complete heart block; single case leaves open its prevalence and management.
Case reportA 66-year-old man, seen in 1971 after a presyncopal episode, was found to have a heart rate of 32 beats per minute.His ECG showed complete heart block with narrow QRS complexes.After two Adams-Stokes attacks in hospital a temporary pacemaker was inserted.He had previously been well with no history of tuber- culosis nor of contact with tuberculosis.Investigation
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P. G. I. Stovin (1982) studied this question. An isolated interventricular septal tuberculoma caused complete heart block, presenting with a heart rate of 32 beats per minute and Adams-Stokes attacks in a 66-year-old man.
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