Document Detail


Percutaneous coronary intervention for persistent complete heart block complicating inferior myocardial infarction.
MedLine Citation:
PMID:  18180531     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Current guidelines recommend implantation of permanent pacemakers for advanced atrioventricular block complicating acute myocardial infarction (MI) when the block is present beyond the usual hospital course. In patients with inferior MI, such blocks are usually transient, but they can also be persistent. However, they are not considered as primary indications for early reperfusion by percutaneous coronary intervention (PCI) in the absence of ongoing ischemia. We describe a patient with inferior MI in whom a successful PCI was effective in reversing persistent complete heart block, thus avoiding implantation of a permanent pacemaker. In selected patients with inferior MI and advanced atrioventricular block, PCI should be considered as a treatment option before recommending permanent pacemaker implantation.
Authors:
S Ramamurthy; S Anandaraja; Navin Matthew
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  19     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-01-08     Completed Date:  2008-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E372-4     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Ste. 25, All India Institute of Medical Sciences, New Delhi, India. saraja79@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary / methods*
Coronary Angiography
Electrocardiography
Follow-Up Studies
Heart Block / diagnosis,  etiology,  therapy*
Humans
Male
Myocardial Infarction / complications*,  diagnosis,  therapy

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


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