International Journal of Medical and Health Research


International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 5, Issue 6 (2019)

Spastic atrioventricular block (AV-Block): Which appropriate care? (A case report and review of the literature)


Y Hdidou1, A Kossir2, M Beghi3, Z Bazid4, NEl Ouafi5, N Ismaili

The coronary artery spasm is an intensive vasoconstriction that causes a vessel’s occlusion. Spastic atrioventricular-block is secondary, most of the time, to an impairment of the right coronary artery. It is a disease more common among Asiatic; its positive diagnosis is based on coronarography with a provocative test of the coronary spasm and a telemetry monitoring. The medical treatment consists of calcium channel blockers and the nitrated by-products. Cardiac pacing is required in case of failure of the drug treatment. We report the case of a 44-year-old woman, admitted for a complete atrio-ventricular block secondary to a spasm of the right coronary artery, which required, in addition to medical treatment, the establishment of a Pace maker.
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