Adem TATLISU, Servet ALTAY, Barış GÜNGÖR, Damirbek OSMONOV, Kazım Serhan ÖZCAN

Atrioventricular block occurring during a gout attack

Ürik asit düzeyleri ve kardiyovasküler hastalık ilişkisi ondokuzuncu yüzyıldan beri bilinmektedirve artmış ürik asit seviyelerini literatürde gut, hipertansiyon, obezite ve kardiyovasküler hastalıklarile ilişkilendiren çok sayıda makale bulunmaktadır. Tüm bunların yanında ürik asit düşürücü veantiinflamatuar tedavi ile düzelebilen atriyoventriküler blok nadiren bildirilmiştir. Biz burada eşzamanlı olarak gut atağı ve atriyoventriküler blok olan bir hastayı sunduk. Hastamızdaantiinflamatuar ve ürik asit düşürücü tedavi sonrası atriyoventriküler iletim düzeldi ve hasta kalıcıpil ihtiyacı göstermedi.

Gut atağı sırasında oluşan atriyoventriküler blok

The relationship between uric acid levels and cardiovascular disease has been known since the19th century and many reports do exist in the literature that show the association of increased uricacid levels with gout, hypertension, obesity and cardiovascular disease. However, atrioventricularblock was rarely reported in relation with, which can usually be resolved with antiinflamatory anduric acid lowering therapies. Here, we reported a patient with gout attack and completeatrioventricular block. Atrioventricular conduction improved after antiinflamatory and uric acidlowering therapy in our patient and the patient did not require a permanent pacemaker.

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