Refractory Hypertensive Emergency associated with Complete Heart Block Resolved after Permanent Pacemaker Implantation: A Case Report

Severe hypertension sometimes improves with treatment of bradycardia but this phenomenon is under-reported. Here an elderly gentleman with complete heart block and a hypertensive emergency was refractory to medical therapies and blood pressure only improved following pacemaker implantation. We discuss the possible mechanisms relating to heart rate and artificial pacing.