Akbulak et al., 2017
recently reported results of Holter ECG monitoring (HEM) following the first dose
of fingolimod in a cohort of 64 MS patients. In this small cohort, the authors reported
five (7.8%) patients with new-onset transient AV-block (AVB) (ranging from first-degree
to second-degree type II (Mobitz)). In 4/5 patients (80%), the AVB could only be detected
in the 72 h HEM with a median time of occurrence at 14 h. Although only one patient
was symptomatic (dizziness), fingolimod treatment was discontinued in all of these
mostly asymptomatic patients.To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 19, 2018
Accepted:
March 16,
2018
Received in revised form:
March 8,
2018
Received:
December 28,
2017
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.