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519 Possible Causes for Bradycardia, Epigastric Pain

  • Acute Gastroenteritis

    Sometimes, myocardial infarction can appear as dyspepsia and epigastric pain. In children, abdominal pain may be the only presenting feature in pneumonia.[] No incidences of bradycardia (HR 7 .[] This syndrome has an insidious onset of malaise, fever, abdominal pain, and bradycardia. Diarrhea and rash (rose spots) appear after 1 week of symptoms.[]

  • Myocardial Infarction

    A 58 year old lady was admitted to our unit with acute onset epigastric pain and vomiting for 4 h duration.[] Sweating Tachycardia Vomiting and sinus bradycardia– this may occur as a result of excessive vagal stimulation, which is most common in inferior MI Nausea and vomiting may[] . 16 In fact, women are more likely to present with atypical symptoms such as fatigue, sleep disturbance, shortness of breath, back pain, upper abdominal or epigastric pain[]

  • HELLP Syndrome

    We recommend that severely ill patients with HELLP syndrome having epigastric pain should undergo CT imaging of the liver.[] The cause of bradycardia prior to tachycardia remains unclear.[] She complained of epigastric pain and nausea. The levels of AST, ALT, and LDH were 539, 560, and 1051 IU/L, respectively; the platelet count was 101 x 109/L.[]

  • Esophageal Perforation

    Mid-thoracic esophageal perforation presents with subternal or epigastric pain; mediastinal crunch is rarely auscultated. Mackler's triad.[] During the procedure, the patient had a transient bradycardia. Endoscopic control showed a 2-cm rupture of the distal esophagus.[] If a perforation is not detected during the procedure or operation, the patient may present with neck, chest or epigastric pain, dysphagia or dyspnoea 3,4 although symptoms[]

  • Physostigmine

    GI: Nausea, vomiting, epigastric pain, diarrhea, salivation. Urogenital: Involuntary urination or defecation. Special Senses: Miosis, lacrimation, rhinorrhea.[] Bradycardia and salivation were not a problem. One child vomited once. Atropine was not necessary.[] GI: nausea, vomiting, diarrhea; epigastric pain, excessive salivation (injected form). GU: loss of bladder control (ophthalmic form); urinary urgency (injected form).[]

  • 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.[] 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.[] Misdiagnosis is frequent with potential disastrous implications, especially with other causes of epigastric pain (atypical myocardial ischemia, perforated ulcer, etc.).[]

  • Inferior Wall Myocardial Infarction

    A 53-year-old Caucasian male presented with epigastric pain for three days and electrocardiographic evidence for an acute inferior wall myocardial infarction.[] Up to 20% of patients with inferior STEMI will develop significant bradycardia due to second- or third-degree AV block.[] Case presentation A 53-year-old Caucasian male presented to the emergency department with epigastric pain for three days.[]

  • Yellow Fever

    The patient suffered from fever, chills, sweating, headaches, backaches, myalgia, epigastric pains, nausea, vomiting, diarrhea and prostration.[] High fevers associated with bradycardia, leukopenia, and transaminase elevations may provide a clue to the diagnosis, and patients will be viremic during this period.[] […] marked by the following: Fever Vomiting Abdominal pain Renal failure Hemorrhage Physical examination Physical findings in yellow fever include the following: Fever Relative bradycardia[]

  • Acute Intermittent Porphyria

    The pain often is epigastric and colicky in nature. Patients often are free of pain between attacks. Constipation is common and can be very severe.[] Tetraplegia and chronic respiratory insufficiency developed, and the patient needed a pacemaker because of a symptomatic sinus bradycardia due to autonomic dysfunction.[] ] Autonomic disturbances may manifest as urinary retention, paralytic ileus, restlessness, tremor, excessive sweating, tachycardia, and labile BP. [4] Complications like bradycardia[]

  • Acute Atrial Infarction

    pain and nausea of around a week's evolution, worsening the day before admission.[] Transcutaneous pacing should be followed by a transvenous pacing if bradycardia persists.[] […] rate of about 25%; if aspirin can not tolerate Or allergies, can be used clopidogrel. (2) β-blockers: As long as no contraindications (such as severe heart failure, severe bradycardia[]

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