alexa Abstract | Junctional Escape and Respiratory Sinus Arrhythmia with Acute Cholecystitis

Journal of Intensive and Critical Care
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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.


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Author(s): Constantine A Manthous


Cholecystitis, Bradycardia, Junctional escape, Respiratory sinus arrhythmia, Vagotonia, Critical Care Nursing, Intensive and Critical Care Medicine, Intensive Care Unit

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