Document Detail

Acute myocardial infarction and heart block: a challenge to emergency physicians.
MedLine Citation:
PMID:  23355585     Owner:  NLM     Status:  In-Data-Review    
We present the case of a patient who underwent an acute ST-elevation myocardial infarction of the inferior wall and transitory total heart block in the first hours of his clinical presentation. There was no haemodynamic instability before the thrombolytic therapy was performed 8 h after the onset of pain. There was no block recurrence. The current case shows a possible complication during the thrombolytic therapy and the urge for a quick decision by the emergency physician. Pacemaker implantation should be considered in the event of the patient's haemodynamic worsening once the success of the therapy is a reflex of the arrhythmia reversion most of the times.
Marcelo Rodrigues Bacci; Janaina Aparecida Boide Santos; Leonardo Fernando Ferrari Nogueira; José Jorge Namura
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Publication Detail:
Type:  Journal Article     Date:  2013-01-25
Journal Detail:
Title:  BMJ case reports     Volume:  2013     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of General Practice, Faculdade de Medicina do ABC, Santo André, Brazil.
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