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ts to assess progression of disease. Here we discuss treatment options during acute coronary syndrome and pregnancy. The 2017 ESC guideline on patients with ST-segment elevation myocardial infarction (STEMI) provides guidance regarding the optimal management of these patients. Transient atrioventricular (AV) block is a relatively common complication of inferior STEMI and its management is also addressed in the guidelines. A 64-year-old gentleman with multiple cardiovascular risk factors presented to the emergency department with a his