Document Detail


Complete heart block and polymorphic ventricular tachycardia complicating myocardial infarction after occlusion of the first septal perforator with coronary stenting.
MedLine Citation:
PMID:  9716213     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of complete heart block (CHB) and polymorphic ventricular tachycardia (VT) which was associated with a modest-sized myocardial infarction (MI) following incidental occlusion of the first septal perforator (FSP) branch after stent deployment to the left anterior descending (LAD) coronary artery. These complications were successfully treated with temporary pacing and subsequently resolved with spontaneous recanalization of the first septal perforator. This case represents an interesting product of medical progress which defies the adverse natural history and poor prognosis of anteroseptal MI associated with CHB due to the small amount of myonecrosis associated with this event.
Authors:
J L Furgerson; S A Sample; J K Gilman; T A Carlson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  44     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-11-16     Completed Date:  1998-11-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  434-7     Citation Subset:  IM    
Affiliation:
Cardiology Service, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas 78234, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiac Pacing, Artificial
Coronary Angiography
Coronary Disease / physiopathology,  radiography,  therapy*
Electrocardiography
Female
Heart Block / etiology*,  physiopathology
Hemodynamics / physiology
Humans
Iatrogenic Disease
Myocardial Infarction / physiopathology,  radiography,  therapy*
Retreatment
Stents*
Tachycardia, Ventricular / etiology*,  physiopathology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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