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2.
BMJ Case Rep ; 12(2)2019 Feb 22.
Article in English | MEDLINE | ID: mdl-30798275

ABSTRACT

We present a case of sinus arrest and junctional escape rhythm from sinus node artery (SNA) thrombus in a 55-year-old man after revascularisation of right coronary and proximal circumflex arteries for infero-posterior wall ST-segement elevation myocardial infarction (STEMI). Sinus arrest from occlusion of the SNA is uncommon. The ensuing bradycardia may have haemodynamic consequences requiring temporary pacing but is almost always self-limited.


Subject(s)
Chest Pain/diagnostic imaging , Coronary Sinus/diagnostic imaging , Coronary Thrombosis/diagnosis , Myocardial Revascularization/methods , Sinus Arrest, Cardiac/diagnosis , Aspirin/therapeutic use , Chest Pain/etiology , Coronary Angiography , Coronary Sinus/physiopathology , Coronary Thrombosis/physiopathology , Coronary Thrombosis/therapy , Defibrillators, Implantable , Humans , Male , Middle Aged , Platelet Aggregation Inhibitors/therapeutic use , Purinergic P2Y Receptor Antagonists/therapeutic use , Sinus Arrest, Cardiac/physiopathology , Sinus Arrest, Cardiac/therapy , Smokers , Treatment Outcome
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