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Unveiling The Diagnosis Pitfall: Complete Heart Block Presenting In Acute Coronary Syndromes Without Chest Pain And Non-Ischemic Electrocardiography In A Young Adult

Heart Science Journal · Vol. 4 No. 4 (2023) · hlm. 36–31

DOI
10.21776/ub.hsj.2023.004.04.8
ISSN
2721-9984, 2721-9976
Terbit
2023-10-01
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: The majority of studies indicate that the asymptomatic or atypical presentation of acute coronary syndrome (ACS) as a significant manifestation of coronary artery disease (CAD) is associated with a poor prognosis.Objective: The purpose of this study was to characterize the clinical characteristics and management of ACS patients who presented without chest pain and non-ischemic electrocardiogram (ECG).Case presentation: A 31 years old man with syncope was brought to our hospital. ECG revealed total AV block (TAVB) without ST segment changes. First, he was diagnosed with cardiac syncope because his ECG showed no ischemic sign. He had a strong familial history of CAD, so we examined his cardiac enzymes and found an increase in serial cardiac enzymes. Then, he was diagnosed with non-ST elevation myocardial infarction (NSTEMI). Early invasive strategy with chronic total occlusion (CTO) at osteal right coronary artery (RCA) and acute total occlusion at mid RCA with implantation of 1 DES at osteal-proximal RCA was selected for this patient. After five days of hospitalization, he discharged home with medicines. Conclusion: In order to significantly lower their morbidity and mortality, this group of high-risk patients needs to receive improved early diagnostic and treatment choices.

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
  • Afiliasi tidak diketahui
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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya46
Novi KurnianingsihUniversity of Brawijaya30
Cholid Tri TjahjonoUniversity of Brawijaya23
Indra PrasetyaUniversity of Brawijaya22
Setyasih AnjarwaniUniversity of Brawijaya21
Heny MartiniUniversity of Brawijaya19
Djanggan SargowoUniversity of Brawijaya18
Budi SatrijoUniversity of Brawijaya16
Wella KarolinaUniversity of Brawijaya11
Nikhen NoverikeUniversity of Brawijaya7
Yoga WaranugrahaUniversity of Brawijaya7
Adhika Prastya WikanandaUniversity of Brawijaya6
Valerinna YogibuanaAfiliasi tidak diketahui6
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya6
N KaputrinUniversity of Brawijaya5
Muhammad Rizki FadlanUniversity of Brawijaya4
Lukitasari Ayu Galuh ArdhiUniversity of Brawijaya4
Putri Annisa KamilaUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya3
Olivia HandayaniUniversity of Brawijaya3
Tonny AdriyantoUniversity of Brawijaya3
Fahmy RusnantaUniversity of Brawijaya3
Ratna PancasariUniversity of Brawijaya3
Fitranti Suciati LaitupaUniversity of Brawijaya3
Dea Arie KurniawanUniversity of Brawijaya3
Seprian WidasmaraUniversity of Brawijaya3
Harris KristantoUniversity of Brawijaya3
Puspa LestariUniversity of Brawijaya2
Veny KurniawatiUniversity of Brawijaya2
Anita Surya SantosoAfiliasi tidak diketahui2
Ayu Asri Devi AdityawatiUniversity of Brawijaya2
Muhammad Saifur RohmanAfiliasi tidak diketahui2
Taufieq Ridlo MakhmudUniversity of Brawijaya2
Faris Wahyu NugrohoUniversity of Brawijaya2
Dedy IrawanUniversity of Brawijaya2
Dyah Ayu IkeningrumRSUD Prof. Dr. Saiful Anwar Malang2

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Unveiling The Diagnosis Pitfall: Complete Heart Block Presenting In Acute Coronary Syndromes Without Chest Pain And Non-Ischemic Electrocardiography In A Young Adult</dc:title>
	<dc:creator xml:lang="en">Suprayoga, Imam Mi'raj</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:creator xml:lang="en">Widito, Sasmojo</dc:creator>
	<dc:creator xml:lang="en">Rahimah, Anna Fuji</dc:creator>
	<dc:subject xml:lang="en">Acute Coronary Syndrome</dc:subject>
	<dc:subject xml:lang="en">Heart Block</dc:subject>
	<dc:subject xml:lang="en">Chest Pain</dc:subject>
	<dc:description xml:lang="en">Background: The majority of studies indicate that the asymptomatic or atypical presentation of acute coronary syndrome (ACS) as a significant manifestation of coronary artery disease (CAD) is associated with a poor prognosis.Objective: The purpose of this study was to characterize the clinical characteristics and management of ACS patients who presented without chest pain and non-ischemic electrocardiogram (ECG).Case presentation: A 31 years old man with syncope was brought to our hospital. ECG revealed total AV block (TAVB) without ST segment changes. First, he was diagnosed with cardiac syncope because his ECG showed no ischemic sign. He had a strong familial history of CAD, so we examined his cardiac enzymes and found an increase in serial cardiac enzymes. Then, he was diagnosed with non-ST elevation myocardial infarction (NSTEMI). Early invasive strategy with chronic total occlusion (CTO) at osteal right coronary artery (RCA) and acute total occlusion at mid RCA with implantation of 1 DES at osteal-proximal RCA was selected for this patient. After five days of hospitalization, he discharged home with medicines. Conclusion: In order to significantly lower their morbidity and mortality, this group of high-risk patients needs to receive improved early diagnostic and treatment choices.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-10-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/13666</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.04.8</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 4 (2023): The Science and Art of Caring for Critically III Patients in Intensive Cardiac Care Unit ICCU; 36-31</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/13666/379</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Imam Mi'raj Suprayoga, Ardian Rizal, Sasmojo Widito, Anna Fuji Rahimah</dc:rights>
</oai_dc:dc>