Complete Heart Block in a Patient with Acute Cholangitis Caused by the Cardiobiliary Reflex
-
Şahhan Kılıç
,
Yetkin Korkmaz
,
Süha Asal
,
Samet Yavuz
,
Ayça Yılmaz Atinkaya
,
Mehmet Uzun
,
Ahmet Lütfullah Orhan
Abstract
Background: Gallbladder and biliary tract diseases may manifest as cardiac symptoms, ischemic electrocardiographic changes, and arrhythmias. Albeit rare, cases of bradyarrhythmia caused by the cardiobiliary reflex have been reported in the context of acute cholecystitis. The case discussed herein emphasizes the cardiobiliary reflex as a possible cause of bradyarrhythmia in patients with gallbladder and biliary tract diseases.
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4. Demarchi MS, Regusci L, Fasolini F. Electrocardiographic changes and false-positive troponin I in a patient with acute cholecystitis. Case Rep Gastroenterol. 2012 May;6(2):410-4.
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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. 2022 Jan 13;14(1):e21187.
2. Gomi H, Takada T, Hwang TL, Akazawa K, Mori R, Endo I, et al. Updated comprehensive epidemiology, microbiology, and outcomes among patients with acute cholangitis. J Hepatobiliary Pancreat Sci. 2017 Jun;24(6):310-318.
3. Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ, Wakabayashi G, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):41-54.
4. Demarchi MS, Regusci L, Fasolini F. Electrocardiographic changes and false-positive troponin I in a patient with acute cholecystitis. Case Rep Gastroenterol. 2012 May;6(2):410-4.
5. Morrison Lm, Swalm Wa. Role Of The Gastrointestinal Tract In Production Of Cardiac Symptoms: Experimental And Clinical Observations. JAMA. 1940; 114(3):217-23.
6. Iftikhar H, Khan FS, Al-Marri NDR, Zaki HA, Masood M. Acute Calculous Cholecystitis with Sinus Bradycardia: Cope's Sign Encountered. Cureus. 2022 Jan 13;14(1):e21187.
| Files | ||
| Issue | Vol 21 No 4 (2026) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/rhythm.v21i4.23096 | |
| Keywords | ||
| Arrhythmia Cope Electrocardiogram Cardiobiliary Bradycardia | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
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 Caused by the Cardiobiliary Reflex. Res Heart Yield Transl Med. 2024;21(4):329-332.
