Transient sinus arrest due to sinus node artery thrombus after revascularisation of the left circumflex artery
Muhammad Hamza Saad Shaukat1, Alexey Tatusov2, Anthony Nappi2
1Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA.
Abstract:
We present a case of sinus arrest and junctional escape rhythm from sinus node artery (SNA) thrombus in a 55-year-old man after revascularisation of right coronary and proximal circumflex arteries for infero-posterior wall ST-segement elevation myocardial infarction (STEMI). Sinus arrest from occlusion of the SNA is uncommon. The ensuing bradycardia may have haemodynamic consequences requiring temporary pacing but is almost always self-limited.
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