An Unusual Case of Tachy-Brady Syndrome Caused by Cholecystitis-Juniper Publishers
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Purpose: To describe an unusual case of wide complex tachycardia associated with vagus nerve dysfunction caused by cholecystitis. Case report: 71-year-old female presented to the emergency department with three days of atypical chest pain associated with right sided abdominal pain. Electrocardiogram demonstrated wide complex tachycardia resistant to multiple interventions. Ultrasound revealed cholecystitis. Subsequent to percutaneous cholecystostomy the cardiac rhythm devolved from recalcitrant tachycardia to tachy-brady syndrome. A dual-chamber pacemaker was installed followed by elective cholecystectomy. The patient was discharged home in stable condition. Conclusion: This case illustrates an unusual cause of cardiac dysfunction via vagus nerve mediated gastrointestinal inflammatory process. Keywords: Tachy-brady syndrome; Atrial fibrillation/flutter; Sick sinus syndrome;...