Refractory hypertensive emergency associated with complete heart block resolved after permanent pacemaker implantation: A case report

Clin Case Rep. 2022 Jun 19;10(6):e5964. doi: 10.1002/ccr3.5964. eCollection 2022 Jun.

Abstract

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.

Keywords: blood pressure; bradycardia; case report; complete heart block; hypertension; permanent pacing.

Publication types

  • Case Reports