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  • Title: Acute myocarditis-related complete atrioventricular block---an accidental finding in an acute appendicitis patient.
    Author: Kang TJ, Wu CC, Lu CW, Jean WH, Yang MH, Lin TY.
    Journal: Acta Anaesthesiol Taiwan; 2008 Sep; 46(3):138-41. PubMed ID: 18809526.
    Abstract:
    We report a 20-year-old male patient with preoperatively undiagnosed myocarditis, who received general anesthesia for laparoscopic appendectomy. Because of arrhythmia, a cardiologist was consulted postoperatively. The 12-lead electrocardiogram showed complete atrioventricular block and the echocardiogram showed global hypokinesia of the left ventricle with impaired contractility, a left ejection fraction of 37%, and a dilated right heart. Subsequently, a permanent pacemaker was implanted and the patient was discharged from hospital without any complications.
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