Acute Inferior Myocardial Infarction With Complete Heart Block in a Community Emergency Department: Lyse or Pace?

¹Department of Emergency Medicine, Rowan University SOM Kennedy University Hospital, Stratford, NJ, USA.

Corresponding Author: Alexander B. Norinsky, Department of Emergency Medicine Rowan University SOM Kennedy University Hospital 18 East Laurel Road, Stratford, Tel: 08084 646-241-5695; E-Mail: [email protected]

Received Date: 12 Feb 2016   
Accepted Date: 26 Mar 2016   
Published Date: 13 Apr 2016

Copyright © 2016 Norinsky AB

Citation: Norinsky AB, Parikh NV and Espinosa J. (2016). Acute Inferior Myocardial Infarction With Complete Heart Block in a Community Emergency Department: Lyse or Pace? Mathews J Case Rep 1(1): 001.

ABSTRACT

A case is described of a 58-year-old gentleman who presented to a community emergency department with an acute infero-posterior wall ST-elevation myocardial infarction (STEMI) and a third-degree atrioventricular block. Since there was a delay in transporting the patient to a percutaneous coronary intervention (PCI) for definitive management, a decision was made to administer thrombolytics. Upon re-evaluation of the case, a conversation ensued whether or not a priority existed for transvenous pacemaker placement prior to administering thrombolytics.