Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report

Acute cholecystitis may present cardiovascular manifestation like cardiac ischemia leading to detailed cardiac workup without any obvious cardiac pathology. Here we describe a case who presented with typical signs and symptoms of cholecystitis exhibiting sinus bradycardia. This reflexive bradycardia...

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Autores principales: Mainali, Arjun, Adhikari, Samaj, Chowdhury, Tutul, Shankar, Malavika, Gousy, Nicole, Dufresne, Alix
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9249057/
https://www.ncbi.nlm.nih.gov/pubmed/35785008
http://dx.doi.org/10.7759/cureus.25585
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author Mainali, Arjun
Adhikari, Samaj
Chowdhury, Tutul
Shankar, Malavika
Gousy, Nicole
Dufresne, Alix
author_facet Mainali, Arjun
Adhikari, Samaj
Chowdhury, Tutul
Shankar, Malavika
Gousy, Nicole
Dufresne, Alix
author_sort Mainali, Arjun
collection PubMed
description Acute cholecystitis may present cardiovascular manifestation like cardiac ischemia leading to detailed cardiac workup without any obvious cardiac pathology. Here we describe a case who presented with typical signs and symptoms of cholecystitis exhibiting sinus bradycardia. This reflexive bradycardia was a result of autonomic vagal innervation and was resolved after cholecystectomy. This case highlights the importance of the cardio-biliary reflex and recommends clinicians ensure expedited management of cholecystitis to avoid unnecessary extensive cardiac workup.
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spelling pubmed-92490572022-07-02 Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report Mainali, Arjun Adhikari, Samaj Chowdhury, Tutul Shankar, Malavika Gousy, Nicole Dufresne, Alix Cureus Cardiology Acute cholecystitis may present cardiovascular manifestation like cardiac ischemia leading to detailed cardiac workup without any obvious cardiac pathology. Here we describe a case who presented with typical signs and symptoms of cholecystitis exhibiting sinus bradycardia. This reflexive bradycardia was a result of autonomic vagal innervation and was resolved after cholecystectomy. This case highlights the importance of the cardio-biliary reflex and recommends clinicians ensure expedited management of cholecystitis to avoid unnecessary extensive cardiac workup. Cureus 2022-06-01 /pmc/articles/PMC9249057/ /pubmed/35785008 http://dx.doi.org/10.7759/cureus.25585 Text en Copyright © 2022, Mainali et al. https://creativecommons.org/licenses/by/3.0/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.
spellingShingle Cardiology
Mainali, Arjun
Adhikari, Samaj
Chowdhury, Tutul
Shankar, Malavika
Gousy, Nicole
Dufresne, Alix
Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report
title Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report
title_full Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report
title_fullStr Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report
title_full_unstemmed Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report
title_short Symptomatic Sinus Bradycardia in a Patient With Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report
title_sort symptomatic sinus bradycardia in a patient with acute calculous cholecystitis due to the cardio-biliary reflex (cope’s sign): a case report
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9249057/
https://www.ncbi.nlm.nih.gov/pubmed/35785008
http://dx.doi.org/10.7759/cureus.25585
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