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382 Possible Causes for Bradycardia, Epigastric Pain

  • Myocardial Infarction

    A 58 year old lady was admitted to our unit with acute onset epigastric pain and vomiting for 4 h duration.[ncbi.nlm.nih.gov] We describe a 41-year-old man who presented with steep down-sloping ST-segment elevation, paroxysmal ventricular tachycardia, severe sinus bradycardia, and intermittent complete[ncbi.nlm.nih.gov] 61 yo female with no previous medical history presenting with nausea, vomiting and epigastric pain that began approximately 4 hours after eating at a mexican restaurant.[web.archive.org]

  • Acute Gastroenteritis

    Sometimes, myocardial infarction can appear as dyspepsia and epigastric pain. In children, abdominal pain may be the only presenting feature in pneumonia.[contemporaryclinic.pharmacytimes.com] Severe volume depletion can cause bradycardia; deep, erratic respirations; and hypothermia. 2[contemporaryclinic.pharmacytimes.com] Pain radiation: Does the pain radiate to the back, to the right lower quadrant, or to the left side? Serious conditions can masquerade as GI symptoms.[contemporaryclinic.pharmacytimes.com]

  • Cardiogenic Shock

    The chest pain may be atypical, the location being epigastric or only in the neck or arm. The pain quality may be burning, sharp, or stabbing.[emedicine.medscape.com] The patient required transvenous cardiac pacing for profound bradycardia and cardiogenic shock.[ncbi.nlm.nih.gov] After the initiation of intravenous diltiazem drip, she developed hypotension, bradycardia, then asystole cardiac arrest.[ncbi.nlm.nih.gov]

  • Acute Myocardial Infarction

    Differential diagnosis of acute myocardial infarction Arm pain Myocardial ischemia, cervical/thoracic vertebral pain, thoracic outlet syndrome Epigastric pain Myocardial ischemia[medical-dictionary.thefreedictionary.com] Their results were mixed: IV magnesium reduced the incidence of serious arrhythmias, but this treatment also increased the incidence of profound hypotension, bradycardia and[cochrane.org] Chest pain may, typically, be associated with the following; dyspnea, epigastric pain, palpitations, diaphoresis, syncope or presyncope and disorientation.[symptoma.com]

  • Vasovagal Syncope

    Classically, nausea, diaphoresis, fading or "graying out" of vision, epigastric discomfort, and light-headedness precede syncope by a few minutes.[medscape.com] It also suggests that non-neural factors may be involved in the genesis of the bradycardia.[ncbi.nlm.nih.gov] The vasovagal reaction, bradycardia and/or asystole, was preceded by abnormal EEG findings when the patient complained of feeling a headache, photophobia, and nausea.[ncbi.nlm.nih.gov]

  • Preeclampsia

    Although extremely rare, aortic dissection might be a possibility in preeclampsia pregnant women, the differential diagnosis of chest and/or epigastric pain in preeclampia[ncbi.nlm.nih.gov] Transitory fetal tachycardia may occur following the bradycardia.[emedicine.com] She presented to Felegehiwot Referal Hospital with a principal complaint of vomiting, epigastric pain, headache, and blurring of vision.[ncbi.nlm.nih.gov]

  • Biliary Colic

    We describe a case showing rapid fluctuations in common bile duct diameter during 72 hours in a patient presenting with epigastric pain and vomiting.[ncbi.nlm.nih.gov] Biliary colic can cause severe reversible reflex bradycardia (Cope's Sign), even complete heart block. Pain relief is very important in the management of such cases.[ncbi.nlm.nih.gov] Misdiagnosis is frequent with potential disastrous implications, especially with other causes of epigastric pain (atypical myocardial ischemia, perforated ulcer, etc.).[ncbi.nlm.nih.gov]

  • Irritable Bowel Syndrome

    In all, 33 of the 69 patients (47.8%) had H. pylori infection, and this was associated with relevant symptoms of epigastric pain (odds ratio [OR] 6.77, 95% confidence interval[ncbi.nlm.nih.gov] The overuse of peppermint oil can have the opposite effect, causing nausea, diarrhea, vomiting, and abdominal pain as well as dizziness and a slowed heart rate ( bradycardia[verywell.com] […] and abdominal pain, and altered defecation is robust, and supports the targeting of MCs in the management in FGIDs.[doi.org]

  • Gastrointestinal Hemorrhage

    Initial assessment may provide an indication of the cause of UGIB: Abdominal pain - eg, epigastric pain, diffuse abdominal pain.[patient.info] There were five withdrawals of treatment out of 693 patients in the terlipressin group: three were attributed to bradycardia ( Söderlund 1990 ; Silvain 1993 ; D'Amico 1994[doi.org] Clinical features of upper gastrointestinal bleeding Symptoms Abdominal pain – may be epigastric or diffuse Haematemesis – vomiting of bright red blood Coffee-ground vomit[geekymedics.com]

  • Syncope

    These conditions can have associated chest pain, neck pain, shoulder pain, dyspnea, epigastric pain, hypotension, alteration of mental status and can result in sudden death[emedicine.medscape.com] We report a case of swallow syncope with invasive confirmation of esophageal hypertension (spasm) and invasive confirmation of a bradycardia mechanism.[ncbi.nlm.nih.gov] Administration of nitroglycerin at 200 μg to relax uterine smooth muscles and the application of fundal pressure led to severe bradycardia and loss of consciousness, followed[ncbi.nlm.nih.gov]

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