eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2020-01-06 8 2 56 59 10.12691/ajmcr-8-2-5 AJMCR2020825 article Lyudmila Aurora 1 Abid Ullah 2 Pramod Theetha Kariyanna 2 Oleg Yurevich 2 Harshith Priyan Chandrakumar 2 Erdal Cavusoglu 2 Jonathan D. Marmur 2 Isabel M. McFarlane isabel.mcfarlane@downstate.edu 2 Division of Cardiovascular Diseases, Department of Medicine, State University of New York Health Sciences University, Downstate Medical Center, Brooklyn, NY 11203, U.S.A. Department of Internal Medicine, State University of New York Health Sciences University, Downstate Medical Center, Brooklyn, NY 11203, U.S.A. Vagal stimulation is common during angiographic procedures. A vasovagal reaction in the setting of coronary angiography most commonly presents as hypotension and/or bradycardia. While the array of signs and symptoms of vasovagal reactions are known, atrioventricular (AV) block maybe overlooked due to its intermittent nature. Below we describe a case of a 47 year-old female who presented with transient complete AV block, mediated by a vagal reaction due to bladder distention in the setting of an invasive coronary angiography procedure. http://pubs.sciepub.com/ajmcr/8/2/5/ajmcr-8-2-5.pdf vasovagal paroxysmal atrioventricular block extrinsic atrioventricular block bladder distention Bezold-Jarisch reflex