A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic
Terence Potter1, Katherine Spencer2, Michael D White3
1Emergency Medicine, Creighton University School of Medicine/Maricopa Medical Center, Phoenix, USA.
Cureus
|February 26, 2021
Summary
A rare case of ST-elevation myocardial infarction (STEMI) with complete heart block and hemodynamic instability in a 56-year-old female is presented. Prompt diagnosis and emergent reperfusion via coronary catheterization were crucial for treatment.
Area of Science:
- Cardiology
- Emergency Medicine
- Clinical Case Study
Background:
- Chest pain is a frequent emergency department presentation, often necessitating evaluation for acute coronary syndrome (ACS).
- ST-elevation myocardial infarction (STEMI) represents a critical subset of ACS, with specific subtypes posing unique management challenges.
- Hemodynamic instability and arrhythmia in STEMI patients indicate a severe clinical scenario requiring urgent intervention.
Observation:
- A 56-year-old female presented with acute chest pain to the emergency department.
- The patient was diagnosed with inferior wall STEMI.
- She exhibited complete heart block and hemodynamic instability upon presentation.
Findings:
- The patient underwent emergent reperfusion therapy via coronary catheterization.
- This case highlights an uncommon STEMI presentation involving complete heart block and hemodynamic compromise.
- Successful management required accurate diagnosis, timely assessment, and appropriate treatment strategies.
Implications:
- This case underscores the importance of recognizing and managing rare STEMI presentations.
- Effective treatment strategies for STEMI with hemodynamic instability and complete heart block are critical.
- Understanding the pathophysiology and treatment nuances of such cases can improve patient outcomes in emergency settings.
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