Introduction: The association of sinus bradycardia and jaundice has been well known for many decades. However, the association of hyperbilirubinemia and complete heart block is less known and seldom described in the medical literature.
Objectives: To raise awareness to the possible incidents of complete heart block and jaundice.
Materials and Methods: We describe an 81-year-old male, known to suffer from hypertension, diabetes, hyperlipidemia nephropathy, ischemic heart disease; who had undergone coronary bypass surgery 4 years earlier. The patient was admitted to the department of surgery to evaluate abdominal pain. On an abdominal CT scan – a pancreatic space occupying lesion was documented and liver function tests revealed hyperbilirubinemia of 6ng/DL. His basic ECG revealed NSR of 65/min with CRBBB. A day after admission the patient lost his consciousness and his pulse dropped to 30/min; A transient complete heart block was detected – treated by a temporary pacemaker.
Conclusions: Besides other triggers, jaundice should be considered as a possible cause of acquired CAVB.
