Severe bradycardia caused by diabetic ketoacidosis

被引：1

作者：

Ferreira, Joao ^{[1
]}

Martins, Joao ^{[2
]}

Goncalves, Lino ^{[3
]}

机构：

[1] Coimbra Hosp & Univ Ctr, Cardiol Dept, Coimbra, Portugal

[2] Coimbra Hosp & Univ Ctr, Intens Care Unit, Coimbra, Portugal

[3] Univ Coimbra, Fac Med, Coimbra, Portugal

来源：

CARDIOVASCULAR JOURNAL OF AFRICA | 2021年 / 32卷 / 02期

基金：

英国医学研究理事会;

关键词：

atrial standstill; electrocardiogram; transthoracic echocardiogram; emergency; bradycardia; diabetic ketoacidosis; medical education; ATRIAL STANDSTILL;

D O I：

10.5830/CVJA-2020-026

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial standstill is an uncommon but serious clinical entity that is often unrecognised in the clinical setting. Its diagnosis and treatment should be swift as malignant arrhythmias and thromboembolic complications can arise. We present a 79-year-old man brought to our emergency department with acute confusion, heart failure and severe bradycardia in the context of diabetic ketoacidosis, and discuss the diagnosis and management of this arrhythmic condition.

引用

页码：108 / 110

页数：3

共 7 条

[1] PERMANENT PARALYSIS OF ATRIUM IN A PATIENT WITH FACIOSCAPULOHUMERAL MUSCULAR-DYSTROPHY [J].

BALDWIN, BJ ;

TALLEY, RC ;

JOHNSON, C ;

NUTTER, DO .

AMERICAN JOURNAL OF CARDIOLOGY, 1973, 31 (05) :649-653

[2] Atrial standstill in sinus node disease due to extensive atrial fibrosis: impact on dual chamber pacemaker implantation [J].

Bellmann, Barbara ;

Roser, Mattias ;

Muntean, Bogdan ;

Tscholl, Verena ;

Nagel, Patrick ;

Schmid, Michael ;

Schauerte, Patrick .

EUROPACE, 2016, 18 (02) :238-245

[3] 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy The Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA) [J].

Brignole, Michele ;

Auricchio, Angelo ;

Baron-Esquivias, Gonzalo ;

Bordachar, Pierre ;

Boriani, Giuseppe ;

Breithardt, Ole-A ;

Cleland, John ;

Deharo, Jean-Claude ;

Delgado, Victoria ;

Elliott, Perry M. ;

Gorenek, Bulent ;

Israel, Carsten W. ;

Leclercq, Christophe ;

Linde, Cecilia ;

Mont, Lluis ;

Padeletti, Luigi ;

Sutton, Richard ;

Vardas, Panos E. ;

Luis Zamorano, Jose ;

Achenbach, Stephan ;

Baumgartner, Helmut ;

Bax, Jeroen J. ;

Bueno, Hector ;

Dean, Veronica ;

Deaton, Christi ;

Erol, Cetin ;

Fagard, Robert ;

Ferrari, Roberto ;

Hasdai, David ;

Hoes, Arno W. ;

Kirchhof, Paulus ;

Knuuti, Juhani ;

Kolh, Philippe ;

Lancellotti, Patrizio ;

Linhart, Ales ;

Nihoyannopoulos, Petros ;

Piepoli, Massimo F. ;

Ponikowski, Piotr ;

Sirnes, Per Anton ;

Luis Tamargo, Juan ;

Tendera, Michal ;

Torbicki, Adam ;

Wijns, William ;

Windecker, Stephan ;

Kirchhof, Paulus ;

Blomstrom-Lundqvist, Carina ;

Badano, Luigi P. ;

Aliyev, Farid ;

Baensch, Dietmar ;

Baumgartner, Helmut .

EUROPEAN HEART JOURNAL, 2013, 34 (29) :2281-2329

[4]

CHAVEZ I, 1946, Arch Inst Cardiol Mex, V16, P159

[5] CLINICAL AND ELECTROPHYSIOLOGICAL CHARACTERISTICS OF ATRIAL STANDSTILL [J].

NAKAZATO, Y ;

NAKATA, Y ;

HISAOKA, T ;

SUMIYOSHI, M ;

OGURA, S ;

YAMAGUCHI, H .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1995, 18 (06) :1244-1254

[6] TRANSIENT AND PERSISTENT ATRIAL STANDSTILL WITH HIS BUNDLE LESIONS - ELECTROPHYSIOLOGIC AND PATHOLOGIC CORRELATIONS [J].

ROSEN, KM ;

RAHIMTOOLA, SH ;

GUNNAR, RM ;

LEV, M .

CIRCULATION, 1971, 44 (02) :220-+

[7] PERMANENT ATRIAL STANDSTILL - THE CLINICAL SPECTRUM [J].

WOOLLISCROFT, J ;

TUNA, N .

AMERICAN JOURNAL OF CARDIOLOGY, 1982, 49 (08) :2037-2041

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