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Refractory hypertensive emergency associated with complete heart block resolved after permanent pacemaker implantation: A case report
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Refractory hypertensive emergency associated with complete heart block resolved after permanent pacemaker implantation: A case report
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Journal Article
Refractory hypertensive emergency associated with complete heart block resolved after permanent pacemaker implantation: A case report
2022
Overview
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. When faced with a refractory hypertensive emergency and complete heart block, artificial pacing may contribute to blood pressure control by altering diastolic filling, myocardial contractility, and atrioventricular synchrony.
Publisher
John Wiley & Sons, Inc,John Wiley and Sons Inc,Wiley
Subject
