Evidence map›Paper›PMID 42377233›Full record

ArticleClinical practice and cases in emergency medicine2026

Unexpected Cardiac Asystole Caused by Vasovagal Reaction During Venipuncture: A Case Report.

Tomoki Nagano, Ryo Sakuma, Wataru Horiguchi, Soi Jeong, Takaki Tanamoto, Yumi Yokota, Matthew Fowler, Jin Kim

Abstract readCase Reports
In one paragraph

Article in Clinical practice and cases in emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Tomoki NaganoJapanese National Physician Graduate Medical Education Program, United States Naval Hospital, Yokosuka, Japan.
Ryo SakumaJapanese National Physician Graduate Medical Education Program, United States Naval Hospital, Yokosuka, Japan.
Wataru HoriguchiJapanese National Physician Graduate Medical Education Program, United States Naval Hospital, Yokosuka, Japan.
Soi JeongJapanese National Physician Graduate Medical Education Program, United States Naval Hospital, Yokosuka, Japan.
Takaki TanamotoJapanese National Physician Graduate Medical Education Program, United States Naval Hospital, Yokosuka, Japan.
Yumi YokotaJapanese National Physician Graduate Medical Education Program, United States Naval Hospital, Yokosuka, Japan.
Matthew FowlerUnited States Naval Hospital, Department of Internal Medicine, Yokosuka, Japan.
Jin KimUnited States Naval Hospital, Department of Emergency Medicine, Yokosuka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe vasovagal reaction can lead to benign, self-limiting syncope triggered by stimuli such as pain or emotional stress. However, in rare and severe cases it may result in cardiac asystole. Previous episodes of vasovagal reactions could be a risk factor for cardiac asystole. CASE REPORT: We present a 39-year-old male with a previous episode of vasovagal syncope who developed an unexpected 15-second episode of asystole during venipuncture, for which we performed immediate chest compressions. Further evaluations revealed no apparent underlying cause. The patient was subsequently diagnosed with transient asystole secondary to vasovagal reaction.

conclusionWhile venipuncture is a common procedure in clinical practice, clinicians should be aware of the potential risk for cardiac asystole. Detailed medical history of previous episodes of vasovagal reactions could be helpful.

Identifiers

PMID42377233
PMCPMC13135434

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