Bezold-Jarisch reflex causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Rim Halaby, M.D. [3]; Mugilan Poongkunran M.B.B.S [4]

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

• Inferoposterior myocardial infarction
• Severe dehydration
• Excessive bleeding

Common Causes

• Chronic heart failure
• Coronary catheterization
• Digitalis
• Exertional syncope in aortic stenosis
• Inferoposterior myocardial infarction
• Serotonin receptor agonists
• Nitrate
• Vasovagal syncope

Causes by Organ System

Cardiovascular	Aortic stenosis, arrhythmias, Bradbury-Eggleston syndrome,carotid sinus hypersensitivity, chronic heart failure, coronary catheterization, coronary reperfusion, digitalis,excessive bleeding, hypertrophic cardiomyopathy, inferior wall myocardial infarction,myocarditis, pericarditis, prinzmetal's angina, radiofrequency catheter ablation, temporary cardiac pacing, vasovagal syncope
Chemical/Poisoning	Food poisoning, grayanotoxin-contaminated honey
Dental	No underlying causes
Dermatologic	Excessive sweating
Drug Side Effect	ACE inhibitor, acetophenazine, adriamycin, aliskiren (direct renin inhibitor), alpha blockers, ARB, BNP, calcium channel blocker, cannabinoid, central 3-amino-1,2,4-triazole(ATZ), clonidine,codeine withdrawal, colchicine toxicity, deoxycorticosterone acetate, digitalis, dihydrocapsaicin,disulfiram toxicity, dobutamine, ketanserin, L-S-nitrosocysteine, MAO inhibitors, mibefradil, nandrolone,nitrates, sodium nitroprusside, ondansetron, phenylbiguanide, pramipexole, prazosin,prostacyclin(PGI2), serotonin receptor agonist, systemic cholecystokinin, tamsulosin,thiazole derivatives, tricyclic antidepressants, zotepine
Ear Nose Throat	Wolfram's disease
Endocrine	Acute pancreatitis, addisonian crisis, Addison's disease, congenital adrenal hyperplasia due to 21-hydroxylase deficiency, congenital adrenal hyperplasia due to 3 beta-hydroxysteroid dehydrogenase deficiency, diabetes insipidus,diabetes mellitus type 2, diabetic ketoacidosis, hyperosmolar non-ketotic diabetic coma, multiple endocrine neoplasia, panhypopituitarism, pheochromocytoma, pseudohypoaldosteronism type 1, Waterhouse-Friederichsen syndrome,Wolfram's disease, X-Linked congemital adrenal hyperplasia
Environmental	Dihydrocapsaicin, excessive sweating, grayanotoxin-contaminated honey, heat stroke,malnutrition, marijuana, veratridine
Gastroenterologic	Acute pancreatitis, diarrhea, dysentery, food poisoning, hyperemesis gravidarum, vomiting
Genetic	Congenital adrenal hyperplasia due to 21-hydroxylase deficiency, congenital adrenal hyperplasia due to 3 beta-hydroxysteroid dehydrogenase deficiency, cystinosis, familial dysautonomia, Fanconi syndrome, multiple endocrine neoplasia, pseudohypoaldosteronism type 1, Riley-Day syndrome, Shy-Drager syndrome,Wolfram's disease, X-Linked congenital adrenal hyperplasia
Hematologic	No underlying causes
Iatrogenic	Coronary catheterization, coronary reperfusion, dialysis, high spinal blockade,interscalene brachial plexus block, pyrexia, radiofrequency catheter ablation, severe dehydration,surgery in prone position, temporary cardiac pacing, vomiting, whole-body acute irradiation
Infectious Disease	Dysentery, endotoxins, Guillain-Barre syndrome, HIV/AIDS, pyrexia
Musculoskeletal/Orthopedic	No underlying causes
Neurologic	Bradbury-Eggleston syndrome, cannabinoid, dementia with Lewy bodies, familial dysautonomia, Guillain-Barre syndrome, panhypopituitarism, paraneoplastic autonomic neuropathy,parkinson's disease, Riley-Day syndrome, Shy-Drager syndrome, vasovagal syncope, veratridine
Nutritional/Metabolic	Anorexia nervosa, vitamin B12 deficiency
Obstetric/Gynecologic	Hyperemesis gravidarum
Oncologic	Paraneoplastic autonomic neuropathy
Ophthalmologic	No underlying causes
Overdose/Toxicity	Cocaine overdose, colchicine toxicity, disulfiram toxicity, marijuana
Psychiatric	Anorexia nervosa
Pulmonary	No underlying causes
Renal/Electrolyte	Cystinosis, dialysis, Fanconi syndrome, renal failure
Rheumatology/Immunology/Allergy	Anaphylaxis
Sexual	Congenital adrenal hyperplasia due to 21-hydroxylase deficiency, congenital adrenal hyperplasia due to 3 beta-hydroxysteroid dehydrogenase deficiency
Trauma	Excessive bleeding, interscalene brachial plexus block
Urologic	No underlying causes
Miscellaneous	Aging, excessive dieting, excessive sweating, exercise training,prolonged upright posture, severe dehydration

Causes by Organ System developed by WikiDoc.org, Copyleft 2013

Causes in Alphabetical Order

• ACE inhibitor

• Acetophenazine

• Acute pancreatitis

• Addisonian crisis

• Addison's disease

• Adriamycin

• Aging

• Aliskiren (direct renin inhibitor)

• Alpha blockers

• Anaphylaxis

• Angiotensin II receptor antagonist

• Anorexia nervosa

• Aortic stenosis

• Arrhythmias

• BNP

• Bradbury-Eggleston syndrome

• Calcium channel blocker

• Cannabinoid

• Carotid sinus hypersensitivity

• Central 3-amino-1,2,4-triazole(ATZ)

• Chronic heart failure

• Clonidine

• Cocaine overdose

• Codeine withdrawal

• Colchicine toxicity

• Congenital adrenal hyperplasia due to 21-hydroxylase deficiency

• Congenital adrenal hyperplasia due to 3 beta-hydroxysteroid dehydrogenase deficiency

• Coronary catheterization

• Coronary reperfusion

• Cystinosis

• Dementia with Lewy bodies

• Deoxycorticosterone acetate

• Diabetes insipidus

• Diabetes mellitus type 2

• Diabetic ketoacidosis

• Dialysis

• Diarrhea

• Digitalis

• Dihydrocapsaicin

• Disulfiram toxicity

• Dobutamine

• Dysentery

• Endotoxins

• Excessive bleeding

• Excessive dieting

• Excessive sweating

• Exercise training

• Familial dysautonomia

• Fanconi syndrome

• Food poisoning

• Grayanotoxin-contaminated honey

• Guillain-Barre syndrome

• Heat stroke

• High spinal blockade

• HIV/AIDS

• Hyperemesis gravidarum

• Hyperosmolar non-ketotic diabetic coma

• Hypertrophic cardiomyopathy

• Inferior wall myocardial infarction

• Interscalene brachial plexus block

• Ketanserin

• L-S-nitrosocysteine

• Malnutrition

• MAO inhibitors

• Marijuana

• Mibefradil

• Multiple endocrine neoplasia

• Myocarditis

• Nandrolone

• Nitrates

• Ondansetron

• Panhypopituitarism

• Paraneoplastic autonomic neuropathy

• Parkinson disease

• Pericarditis

• Phenylbiguanide

• Pheochromocytoma

• Piperamide analogue

• Pramipexole

• Prazosin

• Prinzmetal's angina

• Prolonged upright posture

• Prostacyclin(PGI2)

• Pseudohypoaldosteronism type 1

• Pyrexia

• Radiofrequency catheter ablation

• Renal failure

• Riley-Day syndrome

• Serotonin receptor agonist

• Severe dehydration

• Shy-Drager syndrome

• Sodium nitroprusside

• Surgery in prone position

• Systemic cholecystokinin

• Tamsulosin

• Temporary cardiac pacing

• Thiazole derivatives

• Tricyclic antidepressants

• Vasovagal syncope

• Veratridine

• Vitamin B12 deficiency

• Vomiting

• Waterhouse-Friederichsen syndrome

• Whole-body acute irradiation

• Wolfram's disease

• X-Linked congenital adrenal hyperplasia

• Zotepine

References

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