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October 16, 2025Cardiovascular and Cardiometabolic Journal (CCJ)Open Access

Invasive Strategy of STEMI in Patients with TAVB, RBBB, and Dual High-Risk Profiles: Navigating the Challenges of Antithrombotic Therapy – A Case Report

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Authors

ASAisya Ayu ShafiraHHHanestya Oky Hermawan

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Overview

This case report reveals complex antithrombotic strategies and outcomes in patients with STEMI, highlighting RBBB and high bleeding risk.

Key Points

  • This case demonstrates the management of STEMI complicated by total AV block and right bundle branch block.
  • Post-PCI gastrointestinal bleeding revealed challenges when balancing dual antiplatelet therapy and intervention.
  • Percutaneous coronary intervention achieved rapid stabilization for a patient with cardiovascular risk factors and extensive complications.
  • Attention to individualized antithrombotic strategies is crucial for monitoring high-risk patients after discharge.

Cite This Study

Shafira et al. (2025) studied this question.

synapsesocial.com/papers/68f0ba59c50c73ebef9faaa8https://doi.org/10.20473/ccj.v6i2.2025.125-132
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Inferior ST-elevation myocardial infarction managed with a pharmacoinvasive strategy and conservative management of delayed atrioventricular block: classical case report2020 · 1 citations
  2. 2Reversible total atrioventricular block in a very high-risk non-ST-elevation myocardial infarction (NSTEMI) during conservative treatment in a limited resource setting: a case report2024 · 1 citations
  3. 3Complete AVB Initially Complicating STEMI in Post Percutaneous Revascularization: Case Report2021
  4. 4Managing Acute Myocardial Infarction in Shock and Anemia2025
  5. 5Concurrent Inferior Stemi with Third-Degree AV Block and Acute Intracranial Hemorrhage: How We Overcame this Clinical Challenge – A Case Report2025