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In the postoperative group, there was a strong association between time to PCI and time to AVB improvement (R2=0.752, p=0.00. No adverse PCI procedure-related complications or death occurred and all the patients got complete AVB recovery at discharge. Early PCI is safe and should be recommended as the priority strategy for late presenting inferior STEMI patients when complicated by AVB. Successful reperfusion of the infarct-related artery is helpful to facilitate AVB recovery in this situation. © American Federation for Medical Research 2020. Re-use permi