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BACKGROUND Second-degree atrioventricular (AV) block is a frequently encountered conduction abnormality on surface electrocardiogram (ECG). However, it does not always imply a block at the AV nodal level. In rare cases, this block can occur below the bundle of His, within the infra-Hisian region of the His-Purkinje system.

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Iodinated Contrast Induced Parotitis: A Case Report.

Mymensingh Med J

July 2024

Dr Samsun Nahar, Associate Consultant (Cardiology), United Hospital Limited, Dhaka, Bangladesh; E-mail:

Article Synopsis
  • - A 70-year-old man with a history of heart issues, diabetes, and hypertension was admitted for chest pain and shortness of breath, and diagnosed with NSTEMI following a recent Covid-19 infection.
  • - He underwent successful coronary angioplasty two years prior and was on multiple medications, with normal physical and lab findings except for elevated Troponin I levels.
  • - Following the angioplasty procedure, he developed bilateral parotitis, likely linked to the iodine-based contrast material, which resolved with conservative treatment.
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Aims: The aims of this study are to evaluate the progressive involvement of the cardiac conduction system in the Kearn-Sayre syndrome (KSS) and to establish criteria for the prevention of episodes of syncope or sudden cardiac death.

Methods And Results: This is a prospective monocentric study including KSS patients, with diagnosis based on clinical manifestations, muscle biopsy, and genetic tests, before the age of 18. All patients underwent cardiac screening examination with 12-lead electrocardiogram (ECG), 24-h Holter monitoring, and pacemaker (PM) interrogation twice a year.

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A 40-year-old man was transferred to our hospital following an isolated horse kick injury to the anterior chest wall. The case showed bi-fascicular block, severe tricuspid valve regurgitation due to ruptured chordae tendineae of the anterior leaflet, moderate mitral valve regurgitation due to prolapse of mitral anterior leaflet, and hypokinetic motion of the inferior septal wall. Both tricuspid and mitral insufficiency were completely repaired by a surgical operation.

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