Transient sinus arrest due to sinus node artery thrombus after revascularisation of the left circumflex artery

Muhammad Hamza Saad Shaukat; Alexey Tatusov; Anthony Nappi; Neil Yager

doi:10.1136/bcr-2018-227878

Transient sinus arrest due to sinus node artery thrombus after revascularisation of the left circumflex artery

BMJ Case Rep. 2019 Feb 22;12(2):e227878. doi: 10.1136/bcr-2018-227878.

Authors

Muhammad Hamza Saad Shaukat¹, Alexey Tatusov², Anthony Nappi², Neil Yager²

Affiliations

¹ Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA.
² Cardiology, Albany Medical Center Hospital, Albany, New York, USA.

Abstract

We present a case of sinus arrest and junctional escape rhythm from sinus node artery (SNA) thrombus in a 55-year-old man after revascularisation of right coronary and proximal circumflex arteries for infero-posterior wall ST-segement elevation myocardial infarction (STEMI). Sinus arrest from occlusion of the SNA is uncommon. The ensuing bradycardia may have haemodynamic consequences requiring temporary pacing but is almost always self-limited.

Keywords: arrhythmias; interventional cardiology; ischaemic heart disease.

Publication types

Case Reports

MeSH terms

Aspirin / therapeutic use
Chest Pain / diagnostic imaging*
Chest Pain / etiology
Coronary Angiography
Coronary Sinus / diagnostic imaging*
Coronary Sinus / physiopathology
Coronary Thrombosis / diagnosis*
Coronary Thrombosis / physiopathology
Coronary Thrombosis / therapy
Defibrillators, Implantable
Humans
Male
Middle Aged
Myocardial Revascularization / methods*
Platelet Aggregation Inhibitors / therapeutic use
Purinergic P2Y Receptor Antagonists / therapeutic use
Sinus Arrest, Cardiac / diagnosis*
Sinus Arrest, Cardiac / physiopathology
Sinus Arrest, Cardiac / therapy
Smokers
Treatment Outcome

Substances

Platelet Aggregation Inhibitors
Purinergic P2Y Receptor Antagonists
Aspirin