Reversible 2:1 Atrioventricular Block After Chronic Coronary Revascularization

Maicol Cortez-Sandoval1, Cesar Tasilla Ramos2, Heidy Gamboa Mendo2

  • 1Escuela de Medicina Humana, Universidad Científica del Sur, Lima, Peru.

JACC. Case Reports
|January 14, 2026
PubMed

Insights

Atrioventricular (AV) block in older adults can stem from reversible myocardial ischemia, not just degeneration. Prompt coronary revascularization can restore heart conduction, potentially avoiding pacemaker implantation.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Interventional Cardiology

Background:

  • Atrioventricular (AV) block in the elderly is typically linked to degenerative changes.
  • Myocardial ischemia is an underrecognized cause of AV block, potentially reversible with treatment.
Abstract

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