Syncope caused by iatrogenic hyperkalemia. Journal of cardiovascular medicine (Hagerstown, Md.) [J Cardiovasc Med (Hagerstown)] Journal article | | Title | Syncope caused by iatrogenic hyperkalemia. | | Author(s) | Giancaspro G, Suppa M, Genuini I, Caselli S, Fedele F | | Institution | Department of Emergency and Urgency, Sapienza University, Azienda Policlinico Umberto I, Rome, Italy. giuseppe.giancaspro@uniroma1.it | | Source | J Cardiovasc Med (Hagerstown) 2009 Jan; 10(1):72-4. | | MeSH | Aged, 80 and over
Angiotensin II Type 1 Receptor Blockers
Bradycardia
Cardiac Pacing, Artificial
Cation Exchange Resins
Combined Modality Therapy
Diuretics
Electrocardiography
Female
Heart Rate
Humans
Hyperkalemia
Iatrogenic Disease
Losartan
Syncope
Treatment Outcome
| | Abstract | Symptomatic bradycardia in the emergency department may have several causes (excessive vagal tone, drug toxicity, acute myocardial ischemia, sick sinus syndrome, heart block, and electrolyte imbalance); among these, hyperkalemia may develop as a complication of chronic medical treatment with angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers, and must be considered in the early approach to the bradyarrhythmic patient with possible electrocardiographic signs of hyperkalemia. We report a case of an 87-year-old woman with a clinical history of chronic angiotensin-receptor blocker consumption that led her to dangerous bradyarrhythmia, cardiogenic syncope, and risk of sudden cardiac death. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 19708228 |
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