[Cardiac asystole during acute anterior myocardial infarction: a consequence of endocardiac reflexes].
The authors report a case of paroxysmal, complete atrioventricular block during an anterior acute myocardial infarction, leading to asystolia. The different possible physiopathological mechanisms are discussed, suggesting a paroxysmal nodal conduction defect, secondary to transient parasympathetic stimulation, triggered by a Bezold-Jarish type of cardiac reflex. This reflex is frequently involved in various pathologic situations or diagnostic procedures, usual in cardiology. Although it is frequently observed in inferior myocardial infarction, it can occur during an anterior acute myocardial infarction.
Dumonteil
N
N
Département de cardiologie, CHU Rangueil, 1, avenue Jean-Poulhès, TSA 50032, 31059 Toulouse 09, France. nicolas.dumonteil@tiscali.fr
Maury
P
P
Roncalli
J
J
Delay
M
M
Carrié
D
D
Galinier
M
M
Fauvel
J M
JM
D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology; D001283:Atrioventricular Node / Q000503:physiopathology; D017704:Baroreflex / Q000502:physiology; D002304:Cardiac Pacing, Artificial; D005260:Female; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000209:etiology*; D006327:Heart Block / Q000209:etiology; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D012021:Reflex, Abnormal / Q000502:physiology; D012151:Resuscitation