• Am J Med Case Rep · Jan 2020

    Vagal-induced Complete Heart Block during Coronary Angiography due to Bladder Distention.

    • Lyudmila Aurora, Abid Ullah, Pramod Theetha Kariyanna, Oleg Yurevich, Harshith Priyan Chandrakumar, Erdal Cavusoglu, Jonathan D Marmur, and Isabel M McFarlane.
    • Division of Cardiovascular Diseases, Department of Medicine, State University of New York Health Sciences University, Downstate Medical Center, Brooklyn, NY 11203, U.S.A.
    • Am J Med Case Rep. 2020 Jan 1; 8 (2): 56-59.

    AbstractVagal stimulation is common during angiographic procedures. A vasovagal reaction in the setting of coronary angiography most commonly presents as hypotension and/or bradycardia. While the array of signs and symptoms of vasovagal reactions are known, atrioventricular (AV) block maybe overlooked due to its intermittent nature. Below we describe a case of a 47 year-old female who presented with transient complete AV block, mediated by a vagal reaction due to bladder distention in the setting of an invasive coronary angiography procedure.

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