Symptomatic Sinus Bradycardia in a Patient with Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report | Chapter 5 | A Case in a Million

 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