Related Experiment Video

Updated: Jun 11, 2025

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

543

Acute mesenteric ischemia secondary to complete AV block and acute systolic heart failure: a case report

Jian Cui1

  • 1Department of Emergency Medicine, Mercy Health St. Rita's Medical Center, 730 W. Market Street, Lima, OH, 45801, USA. jcui@mercy.com.

International Journal of Emergency Medicine
|October 8, 2024
PubMed
Abstract

Insights

Acute mesenteric ischemia (AMI) secondary to heart failure is rare. This case shows AMI caused by new onset complete heart block, emphasizing diagnostic challenges and multidisciplinary care for this critical condition.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Vascular Surgery

Background:

  • Acute mesenteric ischemia (AMI) typically presents with severe abdominal pain, nausea, and vomiting.
  • This case is unique as AMI occurred secondary to acute systolic heart failure, triggered by new-onset complete heart block.

Purpose of the Study:

  • To report a rare case of AMI secondary to acute systolic heart failure.
  • To highlight the diagnostic complexities and management strategies for AMI in the context of cardiac events.

Main Methods:

  • A 65-year-old male presented with sudden epigastric pain.
  • Diagnostic workup included ECG, CT angiography (CTA), and cardiac catheterization.
  • Treatment involved emergent laparotomy, superior mesenteric artery (SMA) thrombectomy, and pacemaker implantation.

Main Results:

  • ECG revealed complete AV block and acute ischemia.
  • CTA demonstrated complete occlusion of the mid SMA.
  • The patient experienced postoperative complications including worsening heart failure and bradycardia, necessitating a permanent pacemaker.

Conclusions:

  • This case underscores the diagnostic challenges of AMI when it mimics cardiac events, especially in patients with heart failure and AV block.
  • A multidisciplinary approach is crucial for managing such complex cases effectively.
Keywords:
Acute mesenteric ischemiaAcute systolic heart failureCase reportComplete AV block

More Related Videos

Author Spotlight: Advancing Spectral Characterization of Physiological and Malperfused Tissues04:57

Author Spotlight: Advancing Spectral Characterization of Physiological and Malperfused Tissues

Published on: July 5, 2024

393
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock07:39

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

3.5K

Related Concept Videos

Acute Coronary SyndromeI: Introduction01:30

Acute Coronary SyndromeI: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
3
Acute Coronary Syndrome II: Pathophysiology and clinical manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and clinical manifestations

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
3
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
1
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
2
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
3
Angina II: Classification01:27

Angina II: Classification

Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
3