Ischemia Possibly Associated with High Degree Atrioventricular Block
Dimitrios Siamkouris1, Elmar Offers1, Marc Schloesser1
1Department of Cardiology, Dreifaltigkeits Hospital Lippstadt, Germany, Academic Teaching Hospital of Westfaelische Wilhelms University Muenster, Muenster, Germany.
Case Reports in Cardiology
|August 28, 2023
Summary
High-degree atrioventricular block (HAVB) may be reversible after revascularization in non-acute coronary syndrome patients. This case suggests potential for conduction recovery, though more research is needed.
Area of Science:
- Cardiology
- Electrophysiology
- Interventional Cardiology
Background:
- Second- and third-degree atrioventricular (AV) block management, especially in non-acute coronary syndrome (ACS) settings, remains challenging.
- Permanent pacemaker implantation is often considered for high-degree AV block (HAVB).
Observation:
- A patient with HAVB, initially referred for permanent pacemaker implantation, demonstrated spontaneous conduction restoration.
- This recovery occurred following targeted revascularization procedures.
Findings:
- The case highlights the potential for reversible HAVB in patients without ACS.
- Revascularization may play a role in restoring cardiac conduction in select non-ACS patients.
Implications:
- This finding suggests that revascularization could be a therapeutic consideration for HAVB in non-ACS patients.
- Further robust clinical studies are necessary to confirm these observations and establish guidelines.
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