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Optimal treatment resolves total atrioventricular block in patient with myocardial infarction non-obstructive coronary artery: A case report

Heart Science Journal · Vol. 6 No. 2 (2025)

DOI
10.21776/ub.hsj.2025.006.02.16
ISSN
2721-9984, 2721-9976
Terbit
2025-04-30
Penerbit
Universitas Brawijaya
Bahasa
en
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Background: Total atrioventricular block (TAVB) cause of myocardial infarction non-obstructive coronary artery (MINOCA) in the anteroseptal segment is an uncommon case. Appropriate treatment can prevent worsening and give the best outcome to the patient. Case Presentation: We present a TAVB patient with unstable hemodynamics and complains of severe chest pain. Narrowing in the LAD segment was found in the coronary angiography without any sign of atherosclerosis. The patient improved with optimal reperfusion, and TAVB resolved within 24 hours. Conclusion: Optimal treatment focused on rapid reperfusion due to vasospasm can resolve TAVB and improve clinical conditions in the patients.

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19 penulis · 45 tautan kepenulisan bersama · 6 lintas organisasi

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  • Universitas Jember
  • Universitas Gadjah Mada
  • Diponegoro University
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Rekan penulisOrganisasiArtikel bersama
Sudibyo SudibyoUniversitas Gadjah Mada1
Marsetyawan HnesUniversitas Gadjah Mada1
Ahmad SyaifyUniversitas Gadjah Mada1
Riawati UtamaAfiliasi tidak diketahui1
Yulia Candra DewiAfiliasi tidak diketahui1
Edi WibowoDiponegoro University1
Agus TriyantoDiponegoro University1
Rahayu Sapta SDiponegoro University1
Dini AgustinaUniversitas Jember1
Diana Chusna MufidaUniversitas Jember1
Yunita ArmiyantiUniversitas Jember1
Muhammad Ali ShodikinUniversitas Jember1
Bagus HermansyahUniversitas Jember1

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">Optimal treatment resolves total atrioventricular block in patient with myocardial infarction non-obstructive coronary artery: A case report</dc:title>
	<dc:creator xml:lang="en">Suryono, Suryono</dc:creator>
	<dc:creator xml:lang="en">Hidayat, Muhammad Rijal Fahrudin</dc:creator>
	<dc:creator xml:lang="en">Amien, Muhammad Irsyad</dc:creator>
	<dc:creator xml:lang="en">Tohari, Achmad Ilham</dc:creator>
	<dc:creator xml:lang="en">Saputra, Antonius Dwi</dc:creator>
	<dc:creator xml:lang="en">Ramadhan, Hazbina Fauqi</dc:creator>
	<dc:subject xml:lang="en">Coronary Angiography</dc:subject>
	<dc:subject xml:lang="en">LAD</dc:subject>
	<dc:subject xml:lang="en">MINOCA</dc:subject>
	<dc:subject xml:lang="en">TAVB</dc:subject>
	<dc:subject xml:lang="en">Vasospasm</dc:subject>
	<dc:description xml:lang="en">Background: Total atrioventricular block (TAVB) cause of myocardial infarction non-obstructive coronary artery (MINOCA) in the anteroseptal segment is an uncommon case. Appropriate treatment can prevent worsening and give the best outcome to the patient. 
Case Presentation: We present a TAVB patient with unstable hemodynamics and complains of severe chest pain. Narrowing in the LAD segment was found in the coronary angiography without any sign of atherosclerosis. The patient improved with optimal reperfusion, and TAVB resolved within 24 hours.
Conclusion: Optimal treatment focused on rapid reperfusion due to vasospasm can resolve TAVB and improve clinical conditions in the patients.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2025-04-30</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/20294</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2025.006.02.16</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 6 No. 2 (2025): The Complexity in the Management of Heart Rhythm Disorder</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2025.006.02</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/20294/499</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Suryono Suryono, Muhammad Rijal Fahrudin Hidayat, Muhammad Irsyad Amien, Achmad Ilham Tohari, Antonius Dwi Saputra, Hazbina Fauqi Ramadhan</dc:rights>
	<dc:rights xml:lang="en">http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>