American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2020, 8(2), 56-59
DOI: 10.12691/ajmcr-8-2-5
Open AccessCase Report

Vagal-induced Complete Heart Block during Coronary Angiography due to Bladder Distention

Lyudmila Aurora1, Abid Ullah2, Pramod Theetha Kariyanna1, Oleg Yurevich1, Harshith Priyan Chandrakumar2, Erdal Cavusoglu1, Jonathan D. Marmur1 and Isabel M. McFarlane1,

1Division of Cardiovascular Diseases, Department of Medicine, State University of New York Health Sciences University, Downstate Medical Center, Brooklyn, NY 11203, U.S.A.

2Department of Internal Medicine, State University of New York Health Sciences University, Downstate Medical Center, Brooklyn, NY 11203, U.S.A.

Pub. Date: January 06, 2020

Cite this paper:
Lyudmila Aurora, Abid Ullah, Pramod Theetha Kariyanna, Oleg Yurevich, Harshith Priyan Chandrakumar, Erdal Cavusoglu, Jonathan D. Marmur and Isabel M. McFarlane. Vagal-induced Complete Heart Block during Coronary Angiography due to Bladder Distention. American Journal of Medical Case Reports. 2020; 8(2):56-59. doi: 10.12691/ajmcr-8-2-5


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.

vasovagal paroxysmal atrioventricular block extrinsic atrioventricular block bladder distention Bezold-Jarisch reflex

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