08/01/2026
“Where high-risk cardiac emergencies meet decisive care.”
A 48-year-old male, known case of chronic kidney disease (CKD), presented with acute coronary syndrome (ACS) – inferior wall myocardial infarction (IWMI) complicated by complete heart block (CHB) and deranged kidney function tests (KFTs).
The patient was denied admission at multiple centers due to high-risk status.
He was successfully managed at ARV Heart Centre, Artios Hospital with:
• Temporary pacing implantation (TPI)
• Primary PCI to RCA
• Post-procedure hemodialysis
On Day 2, the patient developed sudden hypotension. Immediate evaluation revealed acute cardiac tamponade.
An emergency pericardiocentesis with pigtail catheter insertion was performed, following which the patient stabilized.
Subsequently:
• Sinus rhythm was regained
• Hemodynamics remained stable
• Renal and cardiac status improved
The patient was discharged in stable condition.
Conclusion:
This case highlights that ARV Heart Centre, Artios Hospital is well equipped to manage complex, high-risk cardiac emergencies, including patients with advanced CKD and life-threatening complications.