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Case Reports
. 2021 Oct 25;9(10):e05017.
doi: 10.1002/ccr3.5017. eCollection 2021 Oct.

Prolonged ventricular pause associated with ticagrelor use: A case report

Alaa Rahhal  1 , Amer Aljundi  1 , Sara Saeed Ibrahim Mohamed  2 , Muhammad Awais Arif  3 , Abdul Rahman Arabi  3
Affiliations
Case Reports

Prolonged ventricular pause associated with ticagrelor use: A case report

Alaa Rahhal et al. Clin Case Rep. .

Abstract

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.

Keywords: adverse drug reaction; ticagrelor; ventricular pause.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

FIGURE 1
FIGURE 1
T wave inversion in anterolateral leads (V3–V6)
FIGURE 2
FIGURE 2
A 22‐s pause on telemetry
See this image and copyright information in PMC

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