Publication:
Reversing AV Block and Cardiogenic Shock in STEMI Care: A Case Report on Use of Fibrinolysis and Inotrope without PCI in Rural Nepal

Simple item page
creativeworkseries.issn1812-2027
dc.contributor.authorPradhan, A
dc.contributor.authorTamrakar, P
dc.contributor.authorBhandari, J
dc.contributor.authorMahat, P
dc.date.accessioned2026-01-27T08:50:47Z
dc.date.available2026-01-27T08:50:47Z
dc.date.issued2025
dc.descriptionPradhan A, Tamrakar P, Bhandari J, Mahat P Department of General Practice and Emergency Medicine Karnali Academy of Health Sciences Jumla, Karnali, Nepal
dc.description.abstractABSTRACT Atrioventricular block and cardiogenic shock are critical complications of inferior wall myocardial infarction with high mortality, especially in resource-limited settings lacking percutaneous coronary intervention. We report a 53-year-old male smoker presenting to a rural hospital with acute chest pain, dyspnea, and profound hemodynamic instability with electrocardiogram showing inferior wall ST-segment elevation myocardial infarction with Mobitz type I atrioventricular block. This case highlights reversal of atrioventricular block with return of hemodynamic stablility using Streptokinase and ionotropes in a rural setting. Therefore, timely fibrinolysis and inotropes in managing inferior wall myocardial infarction with atrioventricular block and cardiogenic shock in percutaneous coronary intervention -inaccessible regions and strengthening rural ST segment elevation myocardial infarction care networks is crucial. KEY WORDS Atrioventricular block, Fibrinolysis, Percutaneous coronary intervention, Rural health, Shock cardiogenic, ST elevation myocardial infarction
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4403
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectAtrioventricular block
dc.subjectFibrinolysis
dc.subjectPercutaneous coronary intervention
dc.subjectRural health
dc.subjectShock cardiogenic
dc.subjectST elevation myocardial infarction
dc.titleReversing AV Block and Cardiogenic Shock in STEMI Care: A Case Report on Use of Fibrinolysis and Inotrope without PCI in Rural Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage401
oaire.citation.startPage398
relation.isJournalIssueOfPublicationf0051982-71eb-4487-affd-f30474a1df9f
relation.isJournalIssueOfPublication.latestForDiscoveryf0051982-71eb-4487-affd-f30474a1df9f
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
398-401.pdf
Size:
988.79 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.86 KB
Format:
Item-specific license agreed to upon submission
Description:
Download

Collections

Publications

Connect with us

Nepal Health Research Council © 2026
Ramshah Path, Kathmandu Nepal P.O.Box 7626