A case of resolution of inferior wall myocardial infarction and varying degrees of atrioventricular block: a case report

Kant, Priyesh; Singh, Pradyumn; Kumar, Granth; Zafar, Khwaja Saifullah

doi:10.18203/2320-6012.ijrms20150660

Cited by 1 publication

(1 citation statement)

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“…3 , 10 In the era of percutaneous coronary intervention (PCI) as a treatment of choice, the rate of complete AV block in acute MI is 2.5%–3%, whereas in the fibrinolysis era, the rate was 7.3%. 11 Kant et al 12 reported a patient with complete AV block complicating inferior wall, right ventricular, and anteroseptal MI that showed improvement to a normal sinus rhythm in 24 h after being managed by fibrinolysis, atropine, and other acute MI treatments. Unfortunately, there has not been any published randomized clinical trials (RCTs) comparing different conduction disorders managements in acute MIs.…”

Section: Discussionmentioning

confidence: 99%

Dopamine and epinephrine for managing complete atrioventricular block due to nonreperfused acute inferior wall myocardial infarction in a rural hospital: A case report

Sandjojo

Jaury

Astari

et al. 2021

SAGE Open Medical Case Reports

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Inferior wall myocardial infarction occurs in approximately 50% of all myocardial infarctions. The most common conduction disorder of this disease is complete atrioventricular block. Immediate attention must be given to the myocardial infarction patients with conduction block due to the increased mortality rate in these patients. Temporary pacemaker implantation and permanent pacemaker implantation are recommended in complete atrioventricular block cases that do not improve with reperfusion. In this case report, a 64-year-old-female patient came to the emergency department of a rural General Hospital with complaints of epigastric pain, dizziness, nausea, and vomiting for 2 days before admission. She had uncontrolled hypertension without a history of diabetes mellitus, dyslipidemia, smoking, or a family history of heart disease. The electrocardiogram displayed an acute inferior wall myocardial infarction and complete atrioventricular block with escape junctional rhythm with a heart rate of 17 bpm. She was diagnosed with nonreperfused inferior wall myocardial infarction and a complete atrioventricular block. She was successfully treated with only dopamine and epinephrine as the definitive treatment because the patient refused to be referred to a tertiary hospital for percutaneous coronary intervention and pacemaker implantation due to financial reasons. Dopamine and epinephrine may be considered for complete atrioventricular block if transfer to a higher level of care is not feasible and as bridge therapy while waiting for transfer.

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Section: Discussionmentioning

confidence: 99%