Introduction
Significant hypertension and bradycardia are often seen together in
clinical practice. Anecdotally blood pressure (BP) often improves
following treatment of bradycardia when caused by atrioventricular (AV)
nodal conduction disturbance, however this is under-reported in the
literature. Permanent pacemaker implantation is a class I indication for
complete heart block (CHB).[1]
We report on a case of a hypertensive emergency that was refractory to
medical management and was only controlled following treatment of
co-existing CHB with permanent pacemaker implantation.