Key result
Pacemaker implantation for symptomatic second-degree atrioventricular block in a patient taking verapamil for variant angina was complicated by procedural difficulties and chest pain.
Case report of a 60-year-old man with variant angina who developed AV block requiring pacemaker implantation, complicated by procedural difficulties.
Supports caution during pacemaker implantation on verapamil; leaves open whether drug effects drive complications in variant angina.
A 60-year-old man with variant angina was taking verapamil to prevent coronary spasm. Symptomatic second-degree atrioventricular block developed, and he required implantation of a permanent dual-chamber pacemaker. However, during the implantation procedure, repeated attempts to penetrate the left
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Alfonso Sestito (2005) studied this question. Pacemaker implantation for symptomatic second-degree atrioventricular block in a patient taking verapamil for variant angina was complicated by procedural difficulties and chest pain.
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