Complete atrioventricular block complicating acute anterior myocardial infarction can be reversed with acute coronary angioplasty.
- Author:
Kay Woon HO
1
;
Tian Hai KOH
;
Philip WONG
;
Sung Lung WONG
;
Yen Teak LIM
;
Soo Teik LIM
;
Li Fern HSU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Angioplasty, Balloon, Coronary; Anterior Wall Myocardial Infarction; complications; therapy; Atrioventricular Block; complications; therapy; Electrocardiography; Female; Humans; Male; Middle Aged; Recovery of Function; Retrospective Studies
- From:Annals of the Academy of Medicine, Singapore 2010;39(3):254-257
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONA retrospective case series of acute anterior myocardial infarction (MI) patients complicated by complete atrioventricular block (AVB) treated with acute percutaneous transluminal coronary angioplasty (PTCA).
CLINICAL PICTUREEight patients with anterior MI and complete AVB underwent acute PTCA between 2000 and 2005. Mean onset of complete AVB was 16.6 +/- 16.9 hours from chest pain onset.
TREATMENTAll patients underwent successful PTCA to the left anterior descending artery.
OUTCOMEComplete AVB resolved with PTCA in 88%; mean time of resolution was 89 +/- 144 minutes after revascularisation. One patient had permanent pacemaker implanted at Day 12 after developing an 8-second ventricular standstill during hospitalisation but not pacing-dependent on follow-up. The rhythm on discharge for the other surviving patients was normal sinus rhythm.
CONCLUSIONThis case series suggests that complete AVB complicating anterior MI is reversible with acute PTCA and survivors are not at increased risk of recurrent AVB. Nevertheless, this condition is associated with extensive myocardial damage and high mortality during the acute hospitalisation was not improved with correction of AVB with temporary pacing.
