Open AccessRefractory hypertensive emergency associated with complete heart block resolved after permanent pacemaker implantation: A case report
Author(s) -
Choudhury Moinuddin,
Kumar Narendra,
Chalil Shajil,
Abozguia Khalid
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5964
Subject(s) - medicine , permanent pacemaker , heart block , refractory (planetary science) , atrioventricular block , cardiology , emergency department , anesthesia , electrocardiography , psychiatry , astrobiology , physics
Severe hypertension sometimes improves with treatment of bradycardia but this phenomenon is under‐reported. Here, an elderly gentleman with complete heart block and a hypertensive emergency was refractory to medical therapies and blood pressure only improved following pacemaker implantation. We discuss the possible mechanisms relating to heart rate and artificial pacing.