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.