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(Circulation. 1960;21:543.)
© 1960 American Heart Association, Inc.

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Transient Complete Heart Block Occurring during Nasal Irrigation

GERALD M. MURPHY M.D.¹; J. G. WILMER M.D.¹; T. S. CLAIBORNE M.D.¹

¹ From the Departments of Medicine, Emory University Medical School and the St. Joseph's Infirmary, Atlanta, Ga.

Cardiac standstill associated with surgical work about the eyes, nose, and throat occurs but is not frequent.

A case is reported in which the patient collapsed while receiving a treatment with a jet spray in the sphenoid sinus area. There developed heart block and cerebral and myocardial damage. Vagal stimulation with inhibition of the heart beat is suggested as the probable cause.