Cardiac arrhythmia in Wilson’s disease: An oversighted and overlooked entity!

Journal of Neurosciences in Rural Practice

卷:7

Richa Singh¹  Saurabh Gupta¹  Bhupender Kumar Bajaj¹  Ankur Wadhwa¹ 

[1] Department of Neurology, PGIMER and Dr. RML Hospital, New Delhi, India;

关键词: autonomic function;    cardiac arrhythmia;    heart block;    hepatolenticular degeneration;    wilson’s disease;   

DOI  :  10.4103/0976-3147.186982

来源: DOAJ

【 摘 要 】

Wilson’s disease is a multisystem disorder which manifests with hepatic, neurological, musculoskeletal, hematological, renal, and cardiac symptoms. The hepatic and neurological manifestations often overshadow the other system involvement including cardiac symptoms and signs, which may prove fatal. We report a case of a young female who presented with progressive parkinsonian features and dystonia for around 4 months followed 2 months later by the complaint of episodes of light-headedness. She was diagnosed to have Wilson’s disease based on the presence of Kayser–Fleischer ring and laboratory parameters of copper metabolism. Electrocardiography of the patient incidentally revealed 2nd degree Mobitz type-1 atrioventricular block explaining her episodes of light-headedness. She was started on penicillamine and trihexyphenidyl. The heart block improved spontaneously. Cardiac autonomic function tests including blood pressure response to standing and heart rate response to standing were observed to be normal. We review the literature on cardiac manifestations of Wilson’s disease and emphasize that patients with Wilson’s disease should be assessed for cardiac arrhythmia and cardiac dysfunction as these may have therapeutic and prognostic implications.

【 授权许可】

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