Alan Sugrue, MBBCh, Christopher V

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HeartRhythm Case Reports

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Grinding to a halt: Stimulation of the trigeminal cardiac reflex from severe bruxism Alan Sugrue, MBBCh, Christopher V. DeSimone, MD, PhD, Prakriti Gaba, BS, Majd A. El-Harasis, MBBS, Abhishek J. Deshmukh, MBBS, FHRS, Samuel J. Asviravtham, MD, FHRS HeartRhythm Case Reports Volume 4, Issue 8, Pages 329-331 (August 2018) DOI: 10.1016/j.hrcr.2017.06.013 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Holter monitoring revealed sinus bradycardia, intermittent second-degree type II atrioventricular block, and a pause of 8.6 seconds HeartRhythm Case Reports 2018 4, 329-331DOI: (10.1016/j.hrcr.2017.06.013) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Illustration of the trigeminal cardiac reflex. X = motor nucleus of the vagus nerve; ∗ = Gasserian ganglion; V = trigeminal nerve. HeartRhythm Case Reports 2018 4, 329-331DOI: (10.1016/j.hrcr.2017.06.013) Copyright © 2017 Heart Rhythm Society Terms and Conditions