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Al-Sadawi M, Garcia AN, Ihsan M, et al. Bladder Distension: An Overlooked Cause Vagal-induced Hypotension during Coronary Angiography. Am J Med Case Rep. 2019;7(8):180-183doi: 10.12691/ajmcr-7-8-8.
Al-Sadawi, M., Garcia, A. N., Ihsan, M., Cavusoglu, E., & McFarlane, S. I. (2019). Bladder Distension: An Overlooked Cause Vagal-induced Hypotension during Coronary Angiography. American journal of medical case reports, 7(8), 180-183. https://doi.org/10.12691/ajmcr-7-8-8
Al-Sadawi, Mohammed, et al. "Bladder Distension: An Overlooked Cause Vagal-induced Hypotension during Coronary Angiography." American journal of medical case reports vol. 7,8 (2019): 180-183. doi: https://doi.org/10.12691/ajmcr-7-8-8
Al-Sadawi M, Garcia AN, Ihsan M, Cavusoglu E, McFarlane SI. Bladder Distension: An Overlooked Cause Vagal-induced Hypotension during Coronary Angiography. Am J Med Case Rep. 2019;7(8):180-183. doi: 10.12691/ajmcr-7-8-8. Epub 2019 Jul 14. PMID: 31396554; PMCID: PMC6687318.
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Am J Med Case Rep. 2019;7(8):180-183. doi: 10.12691/ajmcr-7-8-8. Epub 2019 Jul 14.

Bladder Distension: An Overlooked Cause Vagal-induced Hypotension during Coronary Angiography.

American journal of medical case reports

Mohammed Al-Sadawi, Arismendy Nunez Garcia, Muhammad Ihsan, Erdal Cavusoglu, Samy I McFarlane

Affiliations

  1. Department of Internal Medicine, State University of New York: Downstate Medical Center, Brooklyn, New York, United States-11203.
  2. Department of Cardiology, State University of New York: Downstate Medical Center, Brooklyn, New York, United States-11203.

PMID: 31396554 PMCID: PMC6687318 DOI: 10.12691/ajmcr-7-8-8

Abstract

Hypotension is a common complication during coronary angiography. Multiple factors can lead to hypotension in cath lab including bleeding and vasovagal reaction. Vagal induced hypotension is commonly associated with severe pain and anxiety. However, other causes of hypotension in cath lab should be considered. Here we present a case of 76-year-old male was brought for coronary angiography and the procedure was complicated by hypotension from an overlooked bladder distention.

Keywords: Coronary Angiography; Coronary Angiography Complication; Hypotension; Vagal-induced Hypotension

References

  1. Keio J Med. 1964 Jun;13:87-99 - PubMed
  2. Case Rep Vasc Med. 2017;2017:8538149 - PubMed
  3. Am J Cardiol. 1994 Jan 1;73(1):95-7 - PubMed

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