“…It is relatively rare and has been previously described in association with bradycardia and tachycardia [3 -5], coronary angiography [6], vomiting [7], swallowing [8 -11], coughing [12,13], carotid sinus massage [14,15], and head-up tilt table testing [16,17]. The level of block is at either the AV node 6 or the His-Purkinje system [2,18].…”