Summary
An elderly gentleman presenting late with inferior wall myocardial
infarction and complete heart block underwent revascularization of an
occluded proximal right coronary artery more than four days after the
onset of symptoms and recovered sinus rhythm within 48 hours of the
procedure. There are no clear guidelines for time to percutaneous
coronary intervention (PCI) in late presenting myocardial infarction
with complete atrioventricular blocks (CAVB), and studies looking at
outcomes of primary PCI in this situation appears to be scarce. The case
presented here is a good example of the relevance of late PCI.