Transient Complete Heart Block Following Femoral Arterial Sheath Removal: An Extreme Case of Vasovagal Reflex
Ashwin Kodliwadmath1, Rohit Walia1, Ramlal Ola1
1Department of Cardiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Insights
A rare vasovagal reflex syndrome caused transient complete heart block after femoral arterial sheath removal. This case highlights the importance of recognizing this extreme reaction during cardiac procedures.
Area of Science:
- Cardiology
- Critical Care Medicine
Background:
- Vasovagal reflex syndrome can cause significant hemodynamic changes.
- Femoral arterial sheath removal is a common procedure in interventional cardiology.
- Complete heart block is a rare but serious complication.
Purpose of the Study:
- To report an extreme case of vasovagal reflex syndrome.
- To describe transient complete heart block following femoral arterial sheath removal.
- To emphasize the importance of recognizing this complication.
Main Methods:
- Case report of a patient who developed transient complete heart block.
- Review of literature on vasovagal reflex syndrome and cardiac complications.
Main Results:
- The patient experienced transient complete heart block immediately after femoral arterial sheath removal.
- The condition resolved spontaneously with conservative management.
- No long-term sequelae were observed.
Conclusions:
- Transient complete heart block can be an extreme manifestation of vasovagal reflex syndrome.
- Vigilance and prompt recognition are crucial for managing such events.
- This case underscores the need for careful monitoring during and after femoral arterial procedures.
Abstract:
How to cite this article: Kodliwadmath A, Walia R, Ola R, Sharma P. Transient Complete Heart Block Following Femoral Arterial Sheath Removal: An Extreme Case of Vasovagal Reflex Syndrome. Indian J Crit Care Med 2021;25(7):825-827.
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