Littmann L, Kempler P, Rohla M, Fenyvesi T
Arch Intern Med. 1987 Mar;147(3):586-7.
An 89-year-old man with chronic glaucoma received hourly pilocarpine eye drops for seven hours, when he developed third-degree atrioventricular block with a slow idioventricular escape rate. After discontinuing the pilocarpine, the atrioventricular block gradually disappeared. The site of pilocarpine-related block was most likely within the His-Purkinje system.
一名89岁的慢性青光眼男性患者每小时滴用毛果芸香碱眼药水，持续7小时后，出现三度房室传导阻滞，心室自主逸搏心律缓慢。停用毛果芸香碱后，房室传导阻滞逐渐消失。毛果芸香碱相关阻滞的部位很可能在希氏-浦肯野系统内。
