Isoprenaline induced myocardial infarction in a patient with high-grade atrioventricular block: a case report.

ABSTRACT:

Background

Isoprenaline is widely used in the treatment of symptomatic bradycardia. Myocardial infarction precipitated by the therapeutic use of isoprenaline has not been reported in the literature.

Case summary

We describe the case of a 67-year-old male patient who presented to our institution with symptomatic Mobitz type II 2:1 atrioventricular block. He had a several-month history of unexplained syncope. He had several cardiovascular risk factors but did not have a diagnosis of coronary artery disease. On admission, he was symptomatic with dizziness but had no chest pain. High-sensitivity troponin I was normal. After initiation of an isoprenaline infusion, he developed cardiac-sounding chest pain and an ischaemic electrocardiogram. Emergency coronary angiography was perfo

SUBMITTER: Radhakrishnan A 

PROVIDER: S-EPMC10413318 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature