Recurrent Paroxysmal Complete Heart Block Induced by Vomiting

A woman had a 40-year history of vomiting associated with syncope. Spontaneous and induced vomiting was predictably associated with sinus bradycardia, paroxysmal atrioventricular block, and ventricular asystole. The clinical and laboratory studies carried out to illustrate the mechanism of this unus...

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Veröffentlicht in:	Chest 1988-08, Vol.94 (2), p.433-435
Hauptverfasser:	Mehta, Davendra, Saverymuttu, Sethna H., Camm, A. John
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Bradycardia - physiopathology Cardiac dysrhythmias Cardiology. Vascular system Electrocardiography Electrophysiology Female Heart Heart Arrest - physiopathology Heart Block - etiology Heart Block - physiopathology Humans Medical sciences Middle Aged Recurrence Vomiting - complications
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Beschreibung
Zusammenfassung:	A woman had a 40-year history of vomiting associated with syncope. Spontaneous and induced vomiting was predictably associated with sinus bradycardia, paroxysmal atrioventricular block, and ventricular asystole. The clinical and laboratory studies carried out to illustrate the mechanism of this unusual complication of vomiting demonstrated it to be due to a vagovagal reflex initiated by distension of upper esophagus.
ISSN:	0012-3692 1931-3543
DOI:	10.1378/chest.94.2.433