The Effect of Coronary Revascularization on New-Onset Complete Atrioventricular Block Due to Acute Coronary Syndrome

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dc.contributor.authorNarin, Cueneyt
dc.contributor.authorOzkara, Ahmet
dc.contributor.authorSoylu, Ahmet
dc.contributor.authorEge, Erdal
dc.contributor.authorDuzenli, Akif
dc.contributor.authorSarigul, Ali
dc.contributor.authorYeniterzi, Mehmet
dc.date.accessioned2020-03-26T17:40:31Z
dc.date.available2020-03-26T17:40:31Z
dc.date.issued2009
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Coronary artery disease is one of the most common causes of complete atrioventricular block (AVB) in adults. In this study, we evaluated whether prompt revascularization of the coronary artery occlusion can ameliorate newonset complete AVB due to acute coronary syndrome (ACS). Methods: Five patients (4 men and 1 woman) with a mean age of 69.8 +/- 7.1 years with diagnosed new-onset complete AVB and proven coronary artery disease were enrolled in the study. At the time of AVB diagnosis, 3 of the patients had acute myocardial infarction, and the other 2 patients had unstable angina pectoris. All patients underwent complete coronary bypass surgery after the diagnosis of complete AVB. A patient who underwent 2 coronary bypasses also underwent aortic valve replacement. Results: No mortality was observed in the study group. All but one of the patients converted back to sinus rhythm after a mean interval of 30 +/- 13.6 hours following revascularization procedures. Complete AVB persisted in 1 patient, and a permanent pacemaker was implanted. All patients were discharged uneventfully. The mean hospital stay was 11.4 +/- 4.5 days. All patients are still being followed up after surgery; at a mean follow-up of 27.4 +/- 0.9 months, there have been no further problems. Conclusion: Coronary revascularization may ameliorate ACS-related new-onset complete AVB with an acceptable rate of successful reversion to sinus rhythm. An especially appropriate time for surgery, complete coronary revascularization, and management of myocardial protection during surgery might improve the results of coronary bypass procedures in these patients.en_US
dc.identifier.doi10.1532/HSF98.20081107en_US
dc.identifier.endpageE34en_US
dc.identifier.issn1098-3511en_US
dc.identifier.issue1en_US
dc.identifier.pmid19233762en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpageE30en_US
dc.identifier.urihttps://dx.doi.org/10.1532/HSF98.20081107
dc.identifier.urihttps://hdl.handle.net/20.500.12395/23918
dc.identifier.volume12en_US
dc.identifier.wosWOS:000265130800005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherFORUM MULTIMEDIA PUBLISHING, LLCen_US
dc.relation.ispartofHEART SURGERY FORUMen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleThe Effect of Coronary Revascularization on New-Onset Complete Atrioventricular Block Due to Acute Coronary Syndromeen_US
dc.typeArticleen_US

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