المؤلفون: Babak Geraiely, Mohsen Afarideh, Mohammad Saadat

المصدر: European Heart Journal: Case Reports

مصطلحات موضوعية: medicine.medical_specialty, medicine.medical_treatment, Case Reports, 030204 cardiovascular system & hematology, Revascularization, Third-degree atrioventricular block, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine.artery, Case report, Medicine, Myocardial infarction, cardiovascular diseases, ST-elevation MI, Primary PCI, business.industry, No-reflow phenomenon, Percutaneous coronary intervention, medicine.disease, Atrioventricular node, AV-node physiology, Pacemaker, medicine.anatomical_structure, surgical procedures, operative, Right coronary artery, Conventional PCI, Cardiology, cardiovascular system, Cardiology and Cardiovascular Medicine, business, Atrioventricular block

الوصف: Acute myocardial infarction (MI), particularly inferior MI, may be complicated by the occurrence of third-degree atrioventricular (AV) block. This block is usually temporary, but in some cases it will require a permanent pacemaker (PPM). We report a case of inferior MI and primary percutaneous coronary intervention (PCI) of the right coronary artery (RCA). The third-degree AV block persisted as a result of the no-reflow phenomenon after PCI on the RCA, only to resolve after a second PCI on the left anterior descending (LAD). Improvement in the perfusion of the AV node via the RCA after PCI on the LAD may be able to explain this finding. This case suggests that complete revascularization should be achieved before deciding on the implantation of a PPM.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::25effcd16aaf9b5580daed5c45c0f3f8
http://europepmc.org/articles/PMC6426079