Cervical vasovagal shock: A rare complication of incomplete abortion case report

Kyejo, Willbroad; Moshi, Brenda; Kapesi, Vicky; Ntiyakunze, Gregory; Gidion, Daud; Kaguta, Munawar

doi:10.1016/j.ijscr.2022.107455

Cited by 4 publications

(2 citation statements)

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“…Bradycardia was the most common arrhythmia observed in our review[ 35 - 37 , 47 ]. The common cause of bradycardia is vagal stimulation during the passage of the fetus or POC through the cervix, a phenomenon known as cervical vasovagal shock[ 39 , 40 ]. This is typically observed with retained POC, and management often involves dilatation and curettage to remove the POC.…”

Section: Discussionmentioning

confidence: 99%

“…This is typically observed with retained POC, and management often involves dilatation and curettage to remove the POC. In a study conducted in Cambridge, Kyejo et al [ 40 ] suggest that for patients with symptomatic bradycardia secondary to cervical shock, it is important to stop cervical manipulation and remove all instruments, keep the patient in the supine position with legs elevated to improve venous return, and, if necessary, administer 500-600 microgram of IV atropine followed by a saline flush. In this review, removal of the POC with forceps improved shock and bradycardia.…”

Section: Discussionmentioning

confidence: 99%

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Cardiovascular complications following medical termination of pregnancy: An updated review

Singh,

Mishra,

Vojjala

et al. 2023

World J Cardiol

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The rise in incidence rates of invasive candidiasis warrants an increase in attention and efforts toward preventing and treating this virulent infection. Cardiac involvement is one of the most feared sequelae and has a poor prognosis. Despite the introduction of several novel antifungal agents over the past quarter century, complications and mortality rates due to Candida endocarditis have remained high. Although fungal endocarditis has a mechanism similar to bacterial endocarditis, no specific diagnostic criteria or algorithm exists to help guide its management. Furthermore, recent data has questioned the current guidelines recommending a combined approach of antifungal agents with surgical valve or indwelling prostheses removal. With the emergence of multidrug-resistant Candida auris , a focus on improved prophylactic measures and management strategies is necessary.

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