Theophylline to treat prolonged paroxysmal complete atrioventricular block without conduction disorder or structural heart disease after COVID-19 infection: A case report

Inferior wall myocardial infarction occurs in approximately 50% of all myocardial infarctions. The most common conduction disorder of this disease is complete atrioventricular block. Immediate attention must be given to the myocardial infarction patients with conduction block due to the increased mortality rate in these patients. Temporary pacemaker implantation and permanent pacemaker implantation are recommended in complete atrioventricular block cases that do not improve with reperfusion. In this case report, a 64-year-old-female patient came to the emergency department of a rural General Hospital with complaints of epigastric pain, dizziness, nausea, and vomiting for 2 days before admission. She had uncontrolled hypertension without a history of diabetes mellitus, dyslipidemia, smoking, or a family history of heart disease. The electrocardiogram displayed an acute inferior wall myocardial infarction and complete atrioventricular block with escape junctional rhythm with a heart rate of 17 bpm. She was diagnosed with nonreperfused inferior wall myocardial infarction and a complete atrioventricular block. She was successfully treated with only dopamine and epinephrine as the definitive treatment because the patient refused to be referred to a tertiary hospital for percutaneous coronary intervention and pacemaker implantation due to financial reasons. Dopamine and epinephrine may be considered for complete atrioventricular block if transfer to a higher level of care is not feasible and as bridge therapy while waiting for transfer.

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Checkpoint inhibitor-induced fulminant myocarditis, complete atrioventricular block and myasthenia gravis—a case report

Cardiovascular Diagnosis and Therapy ◽

10.21037/cdt-21-147 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Antonio Portolés Hernández ◽

Mariola Blanco Clemente ◽

Daniel Escribano García ◽

Rocío Velasco Calvo ◽

Beatriz Núñez García ◽

...

Keyword(s):

Case Report ◽

Myasthenia Gravis ◽

Atrioventricular Block ◽

Checkpoint Inhibitor ◽

Fulminant Myocarditis ◽

Complete Atrioventricular Block ◽

Complete Atrioventricular

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Cesarean section under spinal anesthesia in acquired complete atrioventricular block without a pacemaker: A case report

Clinical Case Reports ◽

10.1002/ccr3.2312 ◽

2019 ◽

Vol 7 (9) ◽

pp. 1663-1666

Author(s):

Shungo Aratake ◽

Atsushi Yasuda ◽

Shigehito Sawamura

Keyword(s):

Case Report ◽

Cesarean Section ◽

Spinal Anesthesia ◽

Atrioventricular Block ◽

Complete Atrioventricular Block ◽

Complete Atrioventricular

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Complete atrioventricular block during renal transplantation in a patient with Alport's syndrome: case report

Sao Paulo Medical Journal ◽

10.1590/s1516-31802001000500007 ◽

2001 ◽

Vol 119 (5) ◽

pp. 184-186 ◽

Cited By ~ 8

Author(s):

Fábio Ferrari ◽

Paulo do Nascimento Junior ◽

Pedro Thadeu Galvão Vianna

Keyword(s):

Case Report ◽

Renal Transplantation ◽

Renal Disease ◽

Atrioventricular Block ◽

Conduction System ◽

Definitive Treatment ◽

Alport's Syndrome ◽

Complete Atrioventricular Block ◽

Alport’S Syndrome ◽

Complete Atrioventricular

CONTEXT: Patients with Alport's syndrome (causing 5% of end-stage renal disease) have a higher risk of heart conduction abnormalities. OBJECTIVE: To report a case of Alport's syndrome developing complete atrioventricular block during renal transplantation. CASE REPORT: A 21-year-old man with chronic renal failure due to Alport's syndrome was submitted to a renal transplantation under epidural anesthesia and, during the intraoperative period, a complete atrioventricular block was diagnosed and promptly treated with a transcutaneous pacemaker. This extensive sympathetic block can contribute towards disturbances in the heart conduction system, particularly in patients with chronic renal disease in hemodialysis. Even in patients with a normal preoperative electrocardiogram or no conduction system disturbances, some degree of atrioventricular block, including complete atrioventricular block, can occur. In this situation, a transcutaneous pacemaker provides rapid and effective treatment in the operating room, thereby permitting the planning of a definitive treatment.

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