Complete heart block in a patient with acute cholangitis due to the cardiobiliary reflex
Cope's Sign
-
Şahhan Kılıç
,
Yetkin Korkmaz
,
Süha Asal
,
Samet Yavuz
,
Ayça Yılmaz Atinkaya
,
Mehmet Uzun
,
Ahmet Lütfullah Orhan
Abstract
Gallbladder and biliary tract diseases may manifest as cardiac symptoms, ischemic ECG changes, and arrhythmias. Although rare, bradyarrhythmia cases induced by cardiobiliary reflex have been linked to acute cholecystitis. This case emphasizes the cardiobiliary reflex as a possible cause of bradyarrhythmia in patients with gallbladder and biliary tract diseases .
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2. Gomi H, Takada T, Hwang TL, et al.: Updated comprehensive epidemiology, microbiology, and outcomes among patients with acute cholangitis. J Hepatobiliary Pancreat Sci. 2017, 24:310-318. 10.1002/jhbp.452
3. Yokoe M, Hata J, Takada T, et al.: Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018, 25:41-54. 10.1002/jhbp.515
4. Demarchi MS, Regusci L, Fasolini F: Electrocardiographic changes and false-positive troponin I in a patient with acute cholecystitis. Case Rep Gastroenterol. 2012, 6:410-414. 10.1159/000339965
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6. Iftikhar H, Khan FS, Al-Marri NDR, Zaki HA, Masood M. Acute Calculous Cholecystitis With Sinus Bradycardia: Cope's Sign Encountered. Cureus. 2022141, 21187-2022. 10.7759/cureus.21187
2. Gomi H, Takada T, Hwang TL, et al.: Updated comprehensive epidemiology, microbiology, and outcomes among patients with acute cholangitis. J Hepatobiliary Pancreat Sci. 2017, 24:310-318. 10.1002/jhbp.452
3. Yokoe M, Hata J, Takada T, et al.: Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018, 25:41-54. 10.1002/jhbp.515
4. Demarchi MS, Regusci L, Fasolini F: Electrocardiographic changes and false-positive troponin I in a patient with acute cholecystitis. Case Rep Gastroenterol. 2012, 6:410-414. 10.1159/000339965
5. Morrison Lm, Swalm Wa: Role Of The Gastrointestinal Tract In Production Of Cardiac Symptoms: Experimental And Clinical Observations. JAMA. 1940, 114:217-223. 10.1001/jama.1940.02810030017004
6. Iftikhar H, Khan FS, Al-Marri NDR, Zaki HA, Masood M. Acute Calculous Cholecystitis With Sinus Bradycardia: Cope's Sign Encountered. Cureus. 2022141, 21187-2022. 10.7759/cureus.21187
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| Issue | Articles In Press | |
| Section | Case Report(s) | |
| Keywords | ||
| arrhythmia cope electrocardiogram cardiobiliary bradycardia | ||
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How to Cite
1.
Kılıç Şahhan, Korkmaz Y, Asal S, Yavuz S, Yılmaz Atinkaya A, Uzun M, Orhan A. Complete heart block in a patient with acute cholangitis due to the cardiobiliary reflex. J Tehran Heart Cent. 2024;.
