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Junctional Escape and Respiratory Sinus Arrhythmia with Acute Cholecystitis

Constantine A Manthous

Background: Bradycardias have been reported (rarely) associated with acute cholecystitis.

Data extraction: We here present the first reported case in which acute cholecystitis was associated with self-limited episodes of slow junctional escape (40/min) and marked sinus arrhythmia.

Conclusion: Brady-arrhythmias have been associated with acute biliary disease consistent with the putative mechanism of the “cardiobiliary reflex”, i.e., marked vagotonia.