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Journal List > Cardiovasc Dis > v.8(1); Mar 1981

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Cardiovasc Dis. 1981 March; 8(1): 56–64.
PMCID: PMC287901
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Ischemic electrocardiographic pattern secondary to gallbladder disease: Evaluation of possible mechanisms
Lawrence J. Petrovich, M.D., Ajit V. Adyanthaya, M.D., George B. Smith, M.D., James K. Alexander, M.D., and Lacy Smith, M.D.
Ben Taub General Hospital and the Cardiology Section, Baylor College of Medicine, Houston, Texas.
Abstract
A case of gallbladder disease that caused severe electrocardiographic changes resembling those seen with myocardial ischemia is presented. Normal coronary artery anatomy was documented by means of arteriography, and the patient's symptoms were relieved after cholecystectomy. Various theories concerning the cause of such electrocardiographic changes are discussed.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
  • Fitz-Hugh T, Wolferth CC. CARDIAC IMPROVEMENT FOLLOWING GALL-BLADDER SURGERY: ELECTROCARDIOGRAPHIC EVIDENCE IN CASES WITH ASSOCIATED MYOCARDIAL DISEASE. Ann Surg. 1935 Jan;101(1):478–483. [PubMed]
  • SATAKE K, KIMURA E. On the electrocardiographic findings in the gastrointestinal diseases, especially on the changes in the RS-T segment and T wave. Jpn Heart J. 1962 Mar;3:167–175. [PubMed]
  • Heupler FA, Jr, Proudfit WL, Razavi M, Shirey EK, Greenstreet R, Sheldon WC. Ergonovine maleate provocative test for coronary arterial spasm. Am J Cardiol. 1978 Apr;41(4):631–640. [PubMed]
  • Yasue H, Touyama M, Shimamoto M, Kato H, Tanaka S. Role of autonomic nervous system in the pathogenesis of Prinzmetal's variant form of angina. Circulation. 1974 Sep;50(3):534–539. [PubMed]
  • BERNE RM, DEGEEST H, LEVY MN. INFLUENCE OF THE CARDIAC NERVES ON CORONARY RESISTANCE. Am J Physiol. 1965 Apr;208:763–769. [PubMed]
  • Blesa MI, Ross G. Cholinergic mechanisms on the heart and coronary circulation. Br J Pharmacol. 1970 Jan;38(1):93–105. [PubMed]
  • Levy MN. Sympathetic-parasympathetic interactions in the heart. Circ Res. 1971 Nov;29(5):437–445. [PubMed]
  • McRaven DR, Mark AL, Abboud FM, Mayer HE. Responses of coronary vessels to adrenergic stimuli. J Clin Invest. 1971 Apr;50(4):773–778. [PubMed]
  • Vincent GM, Abildskov JA, Burgess MJ. Q-T interval syndromes. Prog Cardiovasc Dis. 1974 May–Jun;16(6):523–530. [PubMed]
  • Gallivan GJ, Levine H, Canzonetti AJ. Ischemic electrocardiographic changes after truncal vagotomy. JAMA. 1970 Feb 2;211(5):798–801. [PubMed]
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