PMID- 21891817
OWN - NLM
STAT- MEDLINE
DCOM- 20120111
LR  - 20110905
IS  - 1557-2501 (Electronic)
IS  - 1042-3931 (Linking)
VI  - 23
IP  - 9
DP  - 2011 Sep
TI  - Complete heart block in late presentation of inferior STEMI successfully treated 
      with percutaneous coronary intervention.
PG  - E219-21
AB  - A 55-year-old female presented with 4-day history of fatigue and exertional 
      shortness of breath. A late presentation inferior ST elevation myocardial 
      infarction (STEMI) was diagnosed based on ST elevation in the inferior leads of 
      electrocardiography and elevated cardiac troponin T (TnT). She developed complete 
      heart block 1 day after admission to the hospital and remained hemodynamically 
      stable. She was taken to the catheterization laboratory for a temporary pacing 
      wire insertion. Coronary angiogram at the same time showed an occluded right 
      coronary artery at the mid-section. The lesion was successfully opened. Within 24 
      hours, the patient's heart rhythm returned to sinus with first-degree 
      atrioventricular block (AVB), thus avoiding the need for a permanent pacemaker. 
      Current guidelines recommend medical management for late presentation 
      hemodynamically stable STEMI of more than 72 H onset. Current ACC/AHA/HRS 
      Pacemaker Guidelines recommend reperfusion strategy for acute presentation 
      inferior STEMI associated with AVB. However, no clear strategy exists in the case 
      of late presentation inferior STEMI with advanced AVB. Our case report suggests 
      that late coronary intervention could be a management strategy in such a scenario 
      in order to avoid a permanent pacemaker.
FAU - Liang, Michael
AU  - Liang M
AD  - Department of Cardiology, Waikato Hospital, Hamilton, Pembroke & Selwyn Sts., 
      Hamilton 3240, New Zealand.
FAU - Chin, John
AU  - Chin J
FAU - Pasupati, Sanjeevan
AU  - Pasupati S
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - J Invasive Cardiol
JT  - The Journal of invasive cardiology
JID - 8917477
SB  - IM
MH  - *Angioplasty, Balloon, Coronary
MH  - Atrioventricular Node
MH  - Coronary Angiography
MH  - Disease Progression
MH  - Dyspnea/etiology
MH  - Fatigue/etiology
MH  - Female
MH  - Heart Block/etiology/pathology/*therapy
MH  - Humans
MH  - Middle Aged
MH  - Myocardial Infarction/*complications/pathology
MH  - Time Factors
EDAT- 2011/09/06 06:00
MHDA- 2012/01/12 06:00
CRDT- 2011/09/06 06:00
PHST- 2011/09/06 06:00 [entrez]
PHST- 2011/09/06 06:00 [pubmed]
PHST- 2012/01/12 06:00 [medline]
PST - ppublish
SO  - J Invasive Cardiol. 2011 Sep;23(9):E219-21.