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Complete Heart Block Induced by Hyperemesis: Integrating the Vagal Score to Guide Management and Avoid Invasive Interventions

Year: 2025

Type: article

Abstract: Complete heart block (CHB) represents the complete absence of atrioventricular (AV) conduction between the atria and ventricles, preventing the sinoatrial node from regulating heart rate and cardiac output through communication with the AV node. Although standard treatment involves permanent pacemaker implantation, it is crucial to identify reversible causes such as electrolyte imbalances or vagal-mediated mechanisms, as it may allow for alternative, non-invasive management. This case report discusses a rare instance of hyperemesis-induced CHB and utilizes the "vagal score" via ECG-based assessments to determine approach to management, ultimately identifying reversible etiologies and preventing unnecessary invasive interventions such as permanent pacemaker placement.

Source: British journal of healthcare and medical research

DOI: 10.14738/bjhmr.122.18400

Authors: Joshua Hermiz, Vivek Mittal, Kevin Raj, Umesh Bhagat, Christian C. Toquica Gahona

Institutions: Trinity Health Oakland Hospital, University of California, Riverside, Cleveland Clinic

Language: English

Topic: Cardiac electrophysiology and arrhythmias

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4410923788

FWCI:

Cites: 6

Cited by:

Related to: 10