Gastrocardiac syndrome: A forgotten entity

Mohammad Saeed; Janpreet Singh Bhandohal; Ferdinand Visco; Gerald Pekler; Savi Mushiyev

doi:10.1016/j.ajem.2018.05.002

Gastrocardiac syndrome: A forgotten entity

Am J Emerg Med. 2018 Aug;36(8):1525.e5-1525.e7. doi: 10.1016/j.ajem.2018.05.002. Epub 2018 May 9.

Authors

Mohammad Saeed¹, Janpreet Singh Bhandohal², Ferdinand Visco³, Gerald Pekler³, Savi Mushiyev³

Affiliations

¹ Department of Internal Medicine, Metropolitan Hospital Center, New York Medical College, 1901 First Avenue, New York, NY 10029, USA. Electronic address: Mohammad.Saeed@nychhc.org.
² Department of Internal Medicine, Metropolitan Hospital Center, New York Medical College, 1901 First Avenue, New York, NY 10029, USA.
³ Department of Cardiology, Metropolitan Hospital Center, New York Medical College, 1901 First Avenue, New York, NY 10029, USA.

PMID: 29764738
DOI: 10.1016/j.ajem.2018.05.002

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.

Keywords: Bradycardia; Gastrocardiac syndrome; Permanent pacemaker implantation.

Publication types

Case Reports

MeSH terms

Aged
Bradycardia / diagnosis*
Bradycardia / etiology*
Bradycardia / therapy
Dizziness / etiology
Electrocardiography
Female
Gastric Dilatation / complications*
Humans
Pacemaker, Artificial
Syndrome
Tomography, X-Ray Computed