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Which of the following statements is true for this patient? A 53-year-old woman is admitted to the hospital after having an acute inferior myocardial infarction. Within hours of admission, she develops third-degree AV block but remains hemodynamically stable.



A. Conduction abnormalities are uncommon in the setting of an acute myocardial infarction
B. Temporary pacing does not necessarily imply a need for permanent pacing because conduction abnormalities are often transient in the acute setting
C. In an inferior infarction, conduction abnormalities often persist and so necessitate a permanent pacemaker
D. Patients with inferior infarction are more likely to require permanent pacing than those with anterior infarction
Asked by Eliana, Last updated: Jan 24, 2020

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2 Answers

A. Cook

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A. Cook, English Professor, M.A, Ph.D, Kentucky

Answered Feb 21, 2019

Correct answer is option B
Temporary pacing does not necessarily imply a need for permanent pacing because conduction abnormalities are often transient in the acute setting. This statement above is true. Conduction abnormalities are common in the setting of an acute myocardial infarction, conduction abnormalities usually resolve after acute phase of infarction and after revascularization. Temporary pacing may be required during the acute phase of infarction, but there is...Read More
 

John Smith

John Smith

Answered Sep 08, 2016

Temporary pacing does not necessarily imply a need for permanent pacing because conduction abnormalities are often transient in the acute setting-key concept/objective: conduction abnormalities are common in the acute infarction period but they tend to be transient and do not necessarily imply a need for permanent pacing conduction abnormalities are common in the setting of acute myocardial infarction. pathophysiologic mechanisms include ischemia, necrosis, autonomic influences, and the...Read More
 

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