Successful Treatment of Ischemic Dysfunction of the Sinus Node with Thrombolytic Therapy: A Case Report.
10.3904/kjim.2006.21.4.283
- Author:
Jong Seon PARK
1
;
Dong Gu SHIN
;
Young Jo KIM
;
Gu Ru HONG
;
Hyung Jun KIM
;
Bong Sup SHIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yeung-nam University Hospital, Daegu, Korea. dgshin@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Angioplasty;
Complication;
Sinus node dysfunction
- MeSH:
Urinary Plasminogen Activator/administration & dosage/*therapeutic use;
Thrombolytic Therapy/*methods;
Sinoatrial Node/*physiopathology;
Myocardial Ischemia/*complications/radiography/therapy;
Middle Aged;
Male;
Infusions, Intravenous;
Humans;
Follow-Up Studies;
Fibrinolytic Agents/administration & dosage/*therapeutic use;
Electrocardiography;
Coronary Angiography;
Arrhythmia/diagnosis/*drug therapy/etiology;
Angioplasty, Transluminal, Percutaneous Coronary/adverse effects
- From:The Korean Journal of Internal Medicine
2006;21(4):283-286
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report on a case of ischemic dysfunction of the sinus node as a complication after percutaneous transluminal coronary angioplasty of the distal left circumflex artery. After local thrombolytic therapy in the sinus node artery, sinus node arterial flow was re-established and sinus node function normalized over the period of a week. Our experience suggests that immediate reperfusion of a totally occluded nodal artery can be re-established. Ischemic dysfunction of the sinus node, as a complication of angioplasty, is generally transient and requires a prolonged period for recovery. Therefore the decision to implant a permanent pacemaker should be delayed for at least one week after the ischemic insult.
