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Case Report Open Access
Background: Bradycardias have been reported (rarely) associated with acute cholecystitis.
Data extraction: We here present the first reported case in which acute cholecystitis was associated with self-limited episodes of slow junctional escape (40/min) and marked sinus arrhythmia.
Conclusion: Brady-arrhythmias have been associated with acute biliary disease consistent with the putative mechanism of the “cardiobiliary reflex”, i.e., marked vagotonia.
Cholecystitis, Bradycardia, Junctional escape, Respiratory sinus arrhythmia, Vagotonia, Critical Care Nursing, Intensive and Critical Care Medicine, Intensive Care Unit