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.
Author(s) Details:
Tutul Chowdhury,
One
Brooklyn Health, Interfaith Medical Center, New York, USA.
Please see the link here: https://stm.bookpi.org/ACIM/article/view/12576
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