title: Complete atrioventricular block complicating acute anterior myocardial infarction can be reversed with acute coronary angioplasty.
abstract: BACKGROUND
  A retrospective case series of acute anterior myocardial infarction (MI) patients complicated by complete atrioventricular block (AVB) treated with acute percutaneous transluminal coronary angioplasty (PTCA).
  
  
  METHODS
  Eight patients with anterior MI and complete AVB underwent acute PTCA between 2000 and 2005. Mean onset of complete AVB was 16.6 +/- 16.9 hours from chest pain onset.
  
  
  METHODS
  All patients underwent successful PTCA to the left anterior descending artery.
  
  
  RESULTS
  Complete AVB resolved with PTCA in 88%; mean time of resolution was 89 +/- 144 minutes after revascularisation. One patient had permanent pacemaker implanted at Day 12 after developing an 8-second ventricular standstill during hospitalisation but not pacing-dependent on follow-up. The rhythm on discharge for the other surviving patients was normal sinus rhythm.
  
  
  CONCLUSIONS
  This case series suggests that complete AVB complicating anterior MI is reversible with acute PTCA and survivors are not at increased risk of recurrent AVB. Nevertheless, this condition is associated with extensive myocardial damage and high mortality during the acute hospitalisation was not improved with correction of AVB with temporary pacing.
authors.affiliation: Department of Cardiology, National Heart Centre Singapore.
authors.forename: Kay Woon
authors.initials: KW
authors.lastname: Ho
authors.forename: Tian Hai
authors.initials: TH
authors.lastname: Koh
authors.forename: Philip
authors.initials: P
authors.lastname: Wong
authors.forename: Sung Lung
authors.initials: SL
authors.lastname: Wong
authors.forename: Yen Teak
authors.initials: YT
authors.lastname: Lim
authors.forename: Soo Teik
authors.initials: ST
authors.lastname: Lim
authors.forename: Li Fern
authors.initials: LF
authors.lastname: Hsu
mesh_terms: D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D056988:Anterior Wall Myocardial Infarction / Q000150:complications* / Q000628:therapy*; D054537:Atrioventricular Block / Q000150:complications* / Q000628:therapy*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies