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Unusual presentation of more common disease/injury
CASE REPORT
Transient sinus arrest due to sinus node artery thrombus after revascularisation of the left circumflex artery
  1. Muhammad Hamza Saad Shaukat1,
  2. Alexey Tatusov2,
  3. Anthony Nappi2 and
  4. Neil Yager2
  1. 1 Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA
  2. 2 Cardiology, Albany Medical Center Hospital, Albany, New York, USA
  1. Correspondence to Dr Muhammad Hamza Saad Shaukat, hamzasaad1991{at}gmail.com

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.

  • arrhythmias
  • interventional cardiology
  • ischaemic heart disease

https://doi.org/10.1136/bcr-2018-227878

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    Footnotes

    • Contributors SSMH: literature review and drafting the manuscript. TA: critical analysis and revision of manuscript. NA and YN: conception and final approval of manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.