Defecation Syncope: Two Cases of Post-Operative Cardiac Arrest
Bryan Curtis*, Thomas Hughes, Dalila Lo Bue, Christopher J Salgado
Division of Plastic Surgery, University of Miami Hospital, 1120 NW 14th St. Miami, FL 33136, USA
- *Corresponding Author:
- Bryan Curtis
Division of Plastic Surgery
University of Miami Hospital
1120 NW 14th St. Miami
FL 33136, USA
E-mail: [email protected]
Received Date: June 17, 2014; Accepted Date: December 24, 2014; Published Date: December 29, 2014
Citation: Curtis B, Hughes T, Lo Bue D, Christopher JS (2015) Defecation Syncope: Two Cases of Post-Operative Cardiac Arrest. Anaplastology 4:142. doi:10.4172/2161-1173.1000142
Copyright: © 2015 Curtis B et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: The vasovagal response is a normal physiologic response that consists of sequential changes in blood pressure, heart rate, and contractility that resolves spontaneously in normal patients. This normal response can be problematic in patients with a compromised cardiovascular system who require surgery. Case Summary: We report two cases of defecation syncope with cardiac arrest. Both patients had preexisting cardiovascular disease and no premonitory syncope symptoms. Both patients were returned to spontaneous circulation following initiation of ACLS protocol, but died later in the hospital course secondary to complications of cardiac arrest. Conclusion: Promoting hydration, incorporating a stool softener into the medication regimen, and squatting during bowel movement may aid in reducing the risk for syncope and associated cardiac arrest with defecation.