Management of STEMI with Complete Heart Block Using Transcutaneous Pacing: Case Report

Authors

  • Lemlem Beza
  • Shimels Getaneh Weldemedhn Debre Birhan University, Debre Berhan, Ethiopia 2.Addis Ababa university, Addis Ababa, Ethiopia
  • Aklilu Azazh Addis Ababa university, Addis Ababa, Ethiopia
  • Mohammed Bedru Addis Ababa university, Addis Ababa, Ethiopia
  • Melaku Tsediew Berhanu Debre Birhan University, Debre Berhan, Ethiopia
  • Getachew Alemu St. Lalibela General Hospital Lalibela, Ethiopia
  • Meron Tesfay Addis Ababa university, Addis Ababa, Ethiopia

DOI:

https://doi.org/10.58904/p.v4i1.275

Abstract

Background: Transcutaneous cardiac pacing is a rapid, non-invasive method for stimulating the heart through skin electrodes and is vital in managing life-threatening Bradyarrhythmia. This case report highlights its role in a patient with severe arrhythmia following myocardial infarction.

Case Presentation: A 53-year-old male presented to the emergency department with chest pain. His condition progressed from STEMI to a third-degree atrioventricular (AV) block, which led to cardiac arrest. Transcutaneous pacing stabilized the patient, allowing time for coronary intervention. Following revascularization, the AV block resolved completely, and the patient recovered without residual conduction disturbances.

Conclusion: Prompt recognition and management of third-degree AV block in patients with ST-elevation myocardial infarction is essential. Emergency transcutaneous pacing, followed by timely coronary intervention, can be life-saving and restore normal cardiac conduction.

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Published

2026-03-24

How to Cite

Beza, L., Weldemedhn , S. G., Azazh, A., Bedru, M., Berhanu, M. T., Alemu, G., & Tesfay, M. (2026). Management of STEMI with Complete Heart Block Using Transcutaneous Pacing: Case Report. Pan African Journal of Emergency Medicine and Critical Care, 4(1). https://doi.org/10.58904/p.v4i1.275

Issue

Vol. 4 No. 1 (2026): PAJEC V4 N 1

Section

Case Report

License

Copyright (c) 2026 Lemlem Beza; Shimels Getaneh Weldemedhn , Aklilu Azazh, Mohammed Bedru, Melaku Tsediew Berhanu, Getachew Alemu, Meron Tesfay

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.