Reversible cardiogenic shock caused by atrioventricular junctional rhythm after percutaneous coronary intervention

An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subsequent application of atrial pacing reversed the cardiogenic shock. PCI-related injury...

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Bibliographic Details
Published in:Journal of geriatric cardiology : JGC 2012-09, Vol.9 (3), p.318-320
Main Authors: Wang, Jun, Zhang, Qi-Gao, Cai, Xiao-Min, Wang, Li-Jun, Gong, Jian-Bin, Jiang, Shi-Sen
Format: Article
Language:English
Subjects:
Case Report
介入治疗
休克
冠状动脉
可逆
应用程序
心律失常
药物治疗
风险评估
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Summary:An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subsequent application of atrial pacing reversed the cardiogenic shock. PCI-related injury of sinuatrial nodal artery leading to acute atrial contractility loss, accompanied by atrioventricular junctional arrhythmia, was diagnosed. We recommend that preoperative risk evaluation be required for multi-risk patients. Likewise, emergent measures should to be established in advance. This case reminds us that atrial pacing can be an optimal management technique once cardiogenic shock has occurred.
ISSN:1671-5411
DOI:10.3724/SP.J.1263.2012.01301