Refractory Hypertensive Emergency associated with Complete Heart Block
Resolved after Permanent Pacemaker Implantation: A Case Report
- Moinuddin Choudhury,
- Narendra Kumar,
- Shajil Chalil,
- Khalid Abozguia
Abstract
Severe hypertension sometimes improves with treatment of bradycardia but
this phenomenon is under-reported. Here an elderly gentleman with
complete heart block and a hypertensive emergency was refractory to
medical therapies and blood pressure only improved following pacemaker
implantation. We discuss the possible mechanisms relating to heart rate
and artificial pacing.