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529 Possible Causes for Bradycardia, Miosis

  • Organophosphate Poisoning

    Human poisoning due to amitraz may be misdiagnosed as organophosphate/carbamate (OPC) toxicity, since amitraz poisoning shares several clinical features (miosis, bradycardia[ncbi.nlm.nih.gov] No miosis or wheeze None Discharged 10 ED Porter Portering, 30 min in room with patient Giddiness HR 60/min, BP 132/79.[academic.oup.com] Logistic regression analysis indicated bradycardia as the most prominent independent predictor of mortality (p 0.001).[ncbi.nlm.nih.gov]

  • Physostigmine

    Bradycardia and salivation were not a problem. One child vomited once. Atropine was not necessary.[ncbi.nlm.nih.gov] Because the size of the pupil is under the antagonistic control of the sympathetic and parasympathetic systems, drugs affecting either system can cause miosis.[ebi.ac.uk] None demonstrated response and, further, there were associated adverse events, including atrial fibrillation (2), pulmonary infiltrates (1) and significant bradycardia (1)[ncbi.nlm.nih.gov]

  • Cholinergic Crisis

    The much shorter “Triple B” only stands for Bradycardia, Bronchospasm, and Bronchorrhea.[symptoma.com] Other symptoms include increased sweating, salivation, bronchial secretions along with miosis .[en.wikipedia.org] In reply to Instructor, NCSBN : In addition, The Myasthenia Crisis caused Pupils-mydriasis but The Cholinergic crisis caused Pupils-Miosis[learningext.com]

  • Exposure to Nerve Gas

    (At this point in the treatment, bradycardia, if it was present, should also have been reversed; miosis will not be reversed by systemic atropine) If breathing has stopped[besurvival.com] Symptoms may include miosis, red conjunctiva, dimmed or blurry vision, pain, nausea and vomiting, rhinorrhea, increased salivation, tightness in chest, cough, and dyspnea.[centerforhealthsecurity.org] Atropine sulfate blocks the muscarinic effects of acetylcholine that cause bronchorrhoea, hypersalivation, bronchoconstriction and bradycardia, thereby reducing these effects[emro.who.int]

  • Brain Stem Herniation

    Cushing’s triad of signs includes hypertension, bradycardia and apnea. Dr.[emsworld.com] […] insipidus Tonsillar Cerebellar tonsil below the foramen magnum Coma Apnea Hypertension Upward Flattened quadrigeminal cistern "Spinning top" midbrain Hydrocephalus Coma Miosis[derangedphysiology.com] They may have nystagmus, pupillary dilatation, bradycardia, hypertension and respiratory depression.[hawaii.edu]

  • Carbachol

    Bradycardia, cholinergic symptoms and asystole occurred.[ncbi.nlm.nih.gov] Instillation for miosis prior to eye surgery should be gentle and parallel to the iris face and tangential to the pupil border; discard unused portion.[syrianclinic.com] Blurred vision Abdominal cramps Slower than normal heart beat (bradycardia) Vomiting Nausea Sweating The side effects listed above may not include all of the side effects[netdoctor.co.uk]

  • Quinidine

    This case provides the first evidence to suggest that a quinidine-induced long QTU interval and torsade de pointes may be related to bradycardia-dependent early afterdepolarizations[ncbi.nlm.nih.gov] In addition, the effects of quinidine on morphine (5 mg/70 kg IV)-induced miosis and exposure to naloxegol were assessed.[ncbi.nlm.nih.gov] […] associated with quinidine was consistently greater than that associated with any of a variety of alternative antiarrhythmics Acute rheumatic fever, acute thyrotoxicosis, bradycardia[reference.medscape.com]

  • Accidental Hypothermia

    A 35-year-old schizophrenic patient was admitted to the Coronary Care Unit with shock, bradycardia and ST-T changes mimicking acute myocardial infarction.[ncbi.nlm.nih.gov] , lacrimation, urination, defecation, gastric emptying/emesis) and the Killer B’s (bradycardia, bronchorrhea, bronchospasm) or DUMBELLS (diarrhea/diaphoresis, urination, miosis[foamcast.org] Additional findings included atrial fibrillation, severe sinus bradycardia, and prominent J (Osborn) waves.[ncbi.nlm.nih.gov]

  • Pilocarpine

    It is postulated that this action may have been enhanced during halothane anaesthesia with resultant bradycardia and hypotension.[ncbi.nlm.nih.gov] Onset: Miosis 10–30 min; IOP reduction 60 min; salivary stimulation 20 min. Peak: Miosis 30 min; IOP reduction 75 min; salivary stimulation 60 min.[robholland.com] A 73-year-old woman with cardiac dysfunction had several episodes of severe bradycardia and pulmonary oedema when waiting for peripheral vascular surgery.[ncbi.nlm.nih.gov]

  • Fentanyl

    Patients with resting or relative bradycardia may be at higher than average risk.[ncbi.nlm.nih.gov] Fentanyl, fentanyl analogs and other novel synthetic opioids are all full agonists of varying potencies at the μ-opioid receptor, leading to typical clinical effects of miosis[ncbi.nlm.nih.gov] […] and pediatric patients with an overall frequency of 1% and are listed in descending frequency within each System/Organ Class: Cardiac disorders: cyanosis Eye disorders: miosis[rxlist.com]

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