submitted on 2023-03-15, 08:02 and posted on 2023-03-16, 06:20authored byAlaa Rahhal, Amer Aljundi, Sara Saeed Ibrahim Mohamed, Muhammad Awais Arif, Abdul Rahman Arabi
Case
We report a case of a 76-year-old female who presented with non-ST elevation myocardial infarction and developed a 22-second ventricular pause with ticagrelor that did not recur after shifting to clopidogrel. Based on the Naranjo algorithm, the likelihood that our patient's prolonged ventricular pause was due to ticagrelor exposure was probable.
Conclusion
Ticagrelor use is associated with prolonged ventricular pauses, warranting close monitoring, particularly during the first week of therapy.