Lev's disease
Other namesLenegre–Lev syndrome
SpecialtyCardiology

Lev's disease is an acquired complete heart block due to idiopathic fibrosis and calcification of the electrical conduction system of the heart. Lev's disease is most commonly seen in the elderly, and is often described as senile degeneration of the conduction system.

One form has been associated with SCN5A.[1]

The use of electrocardiograms, especially in non-specialized settings like emergency rooms, may incidentally reveal a dysrhythmia that can confuse diagnosis, however serial ECGs will demonstrate an evolving conduction block arrhythmia characteristic of Lev’s disease, thus allowing for correct diagnosis.[2]

Presentation

Associated conditions

Stokes–Adams attacks can be precipitated by this condition. These involve a temporary loss of consciousness resulting from marked slowing of the heart when the atrial impulse is no longer conducted to the ventricles. This should not be confused with the catastrophic loss of heartbeat seen with ventricular fibrillation or asystole.

History

It was described independently by Maurice Lev and Jean Lenègre in 1964,[3][4] but the condition is generally called after Lev.

See also

References

  1. ↑ Schott JJ, Alshinawi C, Kyndt F, et al. (1999). "Cardiac conduction defects associate with mutations in SCN5A". Nat. Genet. 23 (1): 20–1. doi:10.1038/12618. PMID 10471492. S2CID 7595466.
  2. ↑ Carius, Brandon M.; Long, Brit; Schauer, Steve (May 2019). "Lev's Syndrome: A rare case of progressive cardiac conduction disorder presenting to the emergency department". The American Journal of Emergency Medicine. 37 (5): 1006.e1–1006.e4. doi:10.1016/j.ajem.2019.01.054.
  3. ↑ Lev M (1964). "Anatomic basis for atrioventricular block". Am J Med. 37 (5): 742–8. doi:10.1016/0002-9343(64)90022-1. PMID 14237429.
  4. ↑ Lenegre J (1964). "Etiology and pathology of bilateral bundle branch block in relation to complete heart block". Prog Cardiovasc Dis. 6 (5): 409–444. doi:10.1016/s0033-0620(64)80001-3. PMID 14153648.


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