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Bloqueo Auriculoventricular Completo Transitorio Durante Colonoscopia Rutinaria: Un Reflejo Vagal Benigno que Simula
Sebastian Hernandez Mejia1, Joud Fahed2, Rayna Isber3
1Internal Medicine/Cardiology, Richmond University Medical Center, New York, USA.
Cureus
|January 22, 2026
Resumen
El bloqueo cardíaco completo transitorio durante los procedimientos de gastroenterología es raro y generalmente se debe a la estimulación vagal. Este caso destaca que tales eventos a menudo se resuelven espontáneamente, previniendo intervenciones innecesarias como la implantación de marcapasos.
Área de la Ciencia:
- Cardiología
- Gastroenterología
- Procedimientos Médicos
Sus antecedentes:
- El bloqueo cardíaco completo durante los procedimientos gastrointestinales (GI) es infrecuente pero significativo.
- La estimulación vagal por sedación o manipulación endoscópica es la causa habitual.
- Estos bloqueos generalmente se resuelven espontáneamente.
Objetivo del estudio:
- Informar un caso de bloqueo cardíaco completo transitorio durante la endoscopia gastrointestinal de rutina.
- Enfatizar la importancia de reconocer el bloqueo auriculoventricular (AV) mediado por el vago.
- Prevenir el sobrediagnóstico de enfermedad intrínseca de la conducción y las intervenciones innecesarias.
Principales métodos:
- Informe de caso de una mujer de 68 años.
- Monitorización durante colonoscopia y endoscopia superior de rutina bajo anestesia.
- Observación de la normalización del ritmo sin intervención.
Principales resultados:
- El paciente experimentó un bloqueo cardíaco completo transitorio durante los procedimientos.
- Su ritmo cardíaco se normalizó espontáneamente después de los procedimientos.
- No se requirió terapia farmacológica ni marcapasos.
Conclusiones:
- El bloqueo AV mediado por el vago es un fenómeno reflejo benigno durante los procedimientos de gastroenterología.
- Reconocer este bloqueo transitorio es crucial para evitar diagnósticos erróneos.
- La concienciación puede prevenir evaluaciones innecesarias y la implantación de marcapasos permanentes.
Palabras clave:
complicaciones de colonoscopiabloqueo cardíaco completo (bcc)bloqueo av de alto gradoaumento del tono vagalbloqueo av tipo mobitz 2Más Videos Relacionados
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