Refractory Hypertensive Emergency Associated with Complete Heart Block Resolved After Permanent Pacemaker Implantation: A Case Report

Overview

Journal Clin Case Rep

Date 2022 Jun 29

PMID 35765295

Authors

Moinuddin Choudhury

Narendra Kumar

Shajil Chalil

Khalid Abozguia

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Refractory hypertensive emergency associated with complete heart block resolved after permanent pacemaker implantation: A case report.

Choudhury M, Kumar N, Chalil S, Abozguia K Clin Case Rep. 2022; 10(6):e5964.

PMID: 35765295 PMC: 9207116. DOI: 10.1002/ccr3.5964.

References

Choudhury M, Kumar N, Chalil S, Abozguia K . Refractory hypertensive emergency associated with complete heart block resolved after permanent pacemaker implantation: A case report. Clin Case Rep. 2022; 10(6):e5964. PMC: 9207116. DOI: 10.1002/ccr3.5964. View

Neuzil P, Merkely B, Erglis A, Marinskis G, de Groot J, Schmidinger H . Pacemaker-Mediated Programmable Hypertension Control Therapy. J Am Heart Assoc. 2017; 6(12). PMC: 5779015. DOI: 10.1161/JAHA.117.006974. View

Gizurarson S, Lorentzon M, Ramunddal T, Waagstein F, Bergfeldt L, Omerovic E . Effects of complete heart block on myocardial function, morphology, and energy metabolism in the rat. Europace. 2007; 9(6):411-6. DOI: 10.1093/europace/eum065. View

Brignole M, Auricchio A, Baron-Esquivias G, Bordachar P, Boriani G, Breithardt O . 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm.... Eur Heart J. 2013; 34(29):2281-329. DOI: 10.1093/eurheartj/eht150. View

Deshmukh A, Lakshmanadoss U, Deshmukh P . Hemodynamics of His Bundle Pacing. Card Electrophysiol Clin. 2018; 10(3):503-509. DOI: 10.1016/j.ccep.2018.05.014. View

Lyle A, Taylor W . The pathophysiological basis of vascular disease. Lab Invest. 2019; 99(3):284-289. DOI: 10.1038/s41374-019-0192-2. View

LEVINE S, Miller H, PENTON G . Some clinical features of complete heart block. Circulation. 1956; 13(6):801-24. DOI: 10.1161/01.cir.13.6.801. View

Prinzen F, HUNTER W, Wyman B, McVeigh E . Mapping of regional myocardial strain and work during ventricular pacing: experimental study using magnetic resonance imaging tagging. J Am Coll Cardiol. 1999; 33(6):1735-42. PMC: 2041911. DOI: 10.1016/s0735-1097(99)00068-6. View

Lassers B, Julian D . Artificial pacing in management of complete heart block complicating acute myocaerdial infarction. Br Med J. 1968; 2(5598):142-6. PMC: 1989199. DOI: 10.1136/bmj.2.5598.142. View

10.

Martin 3rd W, Ogawa T, Kohrt W, Malley M, Korte E, Kieffer P . Effects of aging, gender, and physical training on peripheral vascular function. Circulation. 1991; 84(2):654-64. DOI: 10.1161/01.cir.84.2.654. View

11.

Vahdatpour C, Collins D, Goldberg S . Cardiogenic Shock. J Am Heart Assoc. 2019; 8(8):e011991. PMC: 6507212. DOI: 10.1161/JAHA.119.011991. View

12.

STACK M, Rader B, SOBOL B, FARBER S, EICHNA L . Cardiovascular hemodynamic functions in complete heart block and the effect of isopropylnorepinephrine. Circulation. 1958; 17(4, Part 1):526-36. DOI: 10.1161/01.cir.17.4.526. View

13.

Yang B, Wang Y, Zhang F, Ju W, Chen H, Mika Y . Rationale and evidence for the development of a durable device-based cardiac neuromodulation therapy for hypertension. J Am Soc Hypertens. 2018; 12(5):381-391. DOI: 10.1016/j.jash.2018.03.004. View

14.

Manisty C, Al-Hussaini A, Unsworth B, Baruah R, Pabari P, Mayet J . The acute effects of changes to AV delay on BP and stroke volume: potential implications for design of pacemaker optimization protocols. Circ Arrhythm Electrophysiol. 2011; 5(1):122-30. PMC: 3378486. DOI: 10.1161/CIRCEP.111.964205. View