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December 1, 2020European Heart Journal - Case ReportsOpen Access

Inferior ST-elevation myocardial infarction managed with a pharmacoinvasive strategy and conservative management of delayed atrioventricular block: classical case report

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Why the study?

The authors aimed to highlight key 2017 ESC STEMI guideline principles regarding a pharmacoinvasive strategy and the conservative management of delayed atrioventricular block.

Population

A 64-year-old gentleman presenting with inferior STEMI and first-degree AV block

Design

Case report

Follow-up

7 days

Authors

TJThadathilankal-Jess JohnStellenbosch UniversityCKCharles KyriakakisWestern Cape Department of HealthDZDon Zachariah

Discussion

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Implication

Supports guideline-directed management of transient AV block in inferior STEMI; leaves open need for individualized application in complex cases.

Structured PICO

P
Population
64-year-old man with multiple cardiovascular risk factors presenting with inferior STEMI and first-degree AV block
I
Intervention
Pharmacoinvasive strategy (thrombolytic therapy followed by emergency angiography and stenting of the right coronary artery) and conservative management of complete AV block with temporary transvenous pacing
O
Outcome
Resolution of complete AV block

Highlights the successful use of a pharmacoinvasive strategy and conservative management of delayed AV block in a patient with inferior STEMI, aligning with ESC guidelines.

Cite This Study

John et al. (2020) studied this question.

synapsesocial.com/papers/6a71376a35aa2c282ce28670https://doi.org/10.1093/ehjcr/ytaa375
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Also Consider

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

  1. 1Spontaneous recovery of complete atrioventricular block complicating acute anterior wall ST elevation myocardial infarction2012 · 5 citations
  2. 2Cardiac arrhythmias in acute coronary syndromes: position paper from the joint EHRA, ACCA, and EAPCI task force2014 · 137 citations
  3. 3High-grade atrioventricular block in acute coronary syndromes: insights from the Global Registry of Acute Coronary Events2014 · 94 citations
  4. 4Early routine percutaneous coronary intervention after fibrinolysis vs. standard therapy in ST-segment elevation myocardial infarction: a meta-analysis2010 · 214 citations
  5. 52017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation2017 · 9,930 citations