Acute hyperkalemia and failure of pacemaker stimulus

被引：3
|
作者：
N'Guetta, Roland [1 ]
Mansencal, Nicolas [1 ]
Digne, Franck [1 ]
Dubourg, Olivier [1 ]
机构：
[1] UVSQ, Hop Univ Ambroise Pare, Serv Cardiol & Malad Vasc,AP HP, Ctr Reference Malad Cardiaques Hereditaires,Dept, F-92100 Boulogne, France
来源：
INTERNATIONAL JOURNAL OF CARDIOLOGY | 2011年 / 150卷 / 01期
关键词：
Hyperkalemia; Pacemaker;
D O I：
10.1016/j.ijcard.2009.08.036
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Acute hyperkalemia may induce well-known serious cardiac arrhythmia. However, ventricular aberration including concealed conduction may also occur. We report the case of a 35-year-old woman who had a previous history of late-operated ventricular septal defect communication and DDD pacemaker was admitted for dyspnea. During hospitalization, an acute hyperkalemia induced sinoatrial block despite correct pacemaker programming. Sodium bicarbonate allowed to restore sinus rhythm. Our report highlights that acute hyperkalemia may increase thresholds of pacemaker stimulus and physicians should be aware that complete block of conduction may occur despite correct pacemaker programming. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：E32 / E33
页数：2
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