54 M Acute Inferior Wall Myocardial Infarction Presenting as Acute Pulmonary Edema with Mobitz Type I AV Block in a Middle-Aged Diabetic Smoker Successfully Managed with Temporary Pacing and Culprit Vessel Revascularization
54M Acute Inferior Wall Myocardial Infarction Presenting as Acute Pulmonary Edema with Mobitz Type I AV Block in a Middle-Aged Diabetic Smoker Successfully Managed with Temporary Pacing and Culprit Vessel Revascularization Dr. Deepthi mam (DM cardiology ) Dr. Ashwini mam ( DNB cardiology ) Abstract Background: Inferior wall myocardial infarction (IWMI) may present with conduction disturbances and acute heart failure. Early recognition and prompt revascularization remain crucial for favorable outcomes. Case Presentation: A 54-year-old male, known diabetic for 2 years, chronic smoker, and alcohol consumer, presented with progressive exertional dyspnea for 3–4 days that acutely worsened to severe breathlessness at rest on the morning of admission. The episode was associated with chest discomfort and diaphoresis. On presentation, he was tachypneic, hypotensive, hypoxemic, and had elevated jugular venous pressure with bilateral basal crepitations. Electrocardiography demonstrated...