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(Chest. 1972;61:402-404.)
© 1972 American College of Chest Physicians

Intermittent Heart Block Related to Treatment of Hypertension in a Patient with Acute Myocardial Infarction

Kenneth Gershengorn M.D.1 and Jacob I. Haft M.D.1

1 Cardiology Section, Department of Medicine of the Veterans Administration Hospital, Bronx, New York and the Mount Sinai School of Medicine, of the City University of New York

A patient with an acute diaphragmatic myocardial infarction and persistent hypertension developed varying degrees of A-V block including complete heart block as his blood pressure was lowered. Block could be abolished by allowing the blood pressure to rise. His bundle electrograms during heart block demonstrated the conduction defect to be proximal to the His bundle in the A-V node. The patient was managed with a stand-by demand pacemaker that allowed safe normalization of his blood pressure.






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Copyright © 1972 by the American College of Chest Physicians.