NYMC Faculty Publications

Gastrocardiac Syndrome: A Forgotten Entity

DOI

10.1016/j.ajem.2018.05.002

Journal Title

The American Journal of Emergency Medicine

First Page

1525.e5

Last Page

1525.e7

Document Type

Case Report

Publication Date

August 2018

Department

Medicine

Abstract

Symptomatic bradycardia due to gastric distension is a rarely reported entity in the field of medicine. The mechanism of gastrointestinal distention that contributes to bradycardia is complex. A 75-year-old female with recurrent episodes of dizziness in the setting of gastric distension was found to have severe sinus bradycardia which resolved upon resolution of gastric distension. No structural or functional abnormality of heart was found. The patient was treated with permanent pacemaker implantation due to recurrent episodes of dizziness in the setting of sinus bradycardia.

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