Symptomatic Sinus Bradycardia in a Patient with Acute Calculous Cholecystitis Due to the Cardio-Biliary Reflex (Cope’s Sign): A Case Report
A Case in a Million,
23 November 2023
,
Page 34-39
https://doi.org/10.9734/bpi/mono/978-81-967669-7-9/C5
Abstract
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.
- Cope’s Sign
- Cardiac Ischemia
- acute calculous cholecystitis
- cardio-biliary reflex