{"title":"Asymptomatic Complete Heart Block in an Adult with Down's Syndrome and Structurally Normal Heart: A Rare Association.","authors":"Sangram Mangudkar, Nallani Chakravarthi Sai Sirisha, Vijayashree Gokhale, Divam Prakash Singh","doi":"10.4103/aam.aam_234_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Down's syndrome (DS) is caused by an extra copy of the chromosome 21. Patients with DS have short stature, intellectual impairment, and characteristic physical features. Cardiovascular disease is the leading cause of morbidity and mortality in patients with DS. An estimated 40%-60% of DS patients have congenital heart disease (CHD). Cardiac conduction disturbances in association with CHD have been described in patients with DS. However, isolated cardiac conduction defect is exceptionally rare in DS, and we report an unusual case of asymptomatic complete heart block in an adult case of DS with structurally normal heart and review the literature about the conduction disturbances in DS.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of African Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/aam.aam_234_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Down's syndrome (DS) is caused by an extra copy of the chromosome 21. Patients with DS have short stature, intellectual impairment, and characteristic physical features. Cardiovascular disease is the leading cause of morbidity and mortality in patients with DS. An estimated 40%-60% of DS patients have congenital heart disease (CHD). Cardiac conduction disturbances in association with CHD have been described in patients with DS. However, isolated cardiac conduction defect is exceptionally rare in DS, and we report an unusual case of asymptomatic complete heart block in an adult case of DS with structurally normal heart and review the literature about the conduction disturbances in DS.
期刊介绍:
The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.