Less Is More: A Case of Delayed Return of Normal Conduction
Asher Gorantla1, Varshitha Panduranga1, Srivane Richard1
1Internal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
Cureus
|April 1, 2026
Summary
This case highlights that heart conduction recovery after inferior myocardial infarction (MI) can occur beyond 72 hours. Prolonged monitoring may prevent unnecessary pacemaker implantation in select patients.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Conduction disturbances are common after acute myocardial infarction (MI), especially inferior wall MIs affecting the atrioventricular node.
- An 82-year-old woman presented with symptomatic anemia and developed an inferior MI with atrioventricular (AV) block, progressing to complete heart block.
Keywords:
atrioventricular blockcomplete heart blockconduction recoveryextended monitoringinferior myocardial infarctionpermanent pacemaker avoidancetemporary transvenous pacingMore Related Videos
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