{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:26:15Z","timestamp":1777724775805,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p>Reflex bradycardia and cardiac arrest may be the result of a vagal reflex, which can occur during a variety of surgical procedures. We report a patient who developed cardiac arrest as a result of a vagal reflex that was potentiated by thoracic epidural analgesia during general anaesthesia. A 53-year-old man was scheduled for subtotal gastrectomy because of an early gastric adenocarcinoma. After an epidural catheter had been inserted, general anaesthesia was induced. During surgery, an abdominal self-retaining retractor was set up but bradycardia and cardiac arrest developed. The patient returned to a normal sinus rhythm after successful resuscitation. We conclude that bradycardia as a result of a vagal reflex is mediated by potent abdominal wall traction and is potentiated by epidural analgesia. Early diagnosis and proper treatment can allow a full recovery, even in high-risk patients.<\/jats:p>","DOI":"10.1177\/147323000603400414","type":"journal-article","created":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T14:22:43Z","timestamp":1361974963000},"page":"433-436","source":"Crossref","is-referenced-by-count":16,"title":["Cardiac Arrest due to a Vagal Reflex Potentiated by Thoracic Epidural Analgesia"],"prefix":"10.1177","volume":"34","author":[{"given":"JY","family":"Park","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Korea University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SJ","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, College of Medicine, Eulji University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JY","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Korea University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HW","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Korea University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HJ","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Korea University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, Korea University, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,8,1]]},"reference":[{"key":"bibr1-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1007\/BF03005473"},{"key":"bibr2-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1957.02980010016004"},{"key":"bibr3-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/86.6.859"},{"key":"bibr4-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198801000-00003"},{"key":"bibr5-147323000603400414","first-page":"84","volume":"82","author":"Rosenberg JM","year":"1996","journal-title":"Anesth Analg"},{"key":"bibr6-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1016\/S0952-8180(01)00355-5"},{"key":"bibr7-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/58.8.936-b"},{"key":"bibr8-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1986.tb12725.x"},{"key":"bibr9-147323000603400414","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1987.tb02998.x"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000603400414","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000603400414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:40:45Z","timestamp":1777459245000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/147323000603400414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,8]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2006,8]]}},"alternative-id":["10.1177\/147323000603400414"],"URL":"https:\/\/doi.org\/10.1177\/147323000603400414","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,8]]}}}