Hypokalemia with syncope caused by habitual drinking of oolong tea

被引：18

作者：

Aizaki, T ^{[1
]}

Osaka, M ^{[1
]}

Hara, H ^{[1
]}

Kurokawa, S ^{[1
]}

Matsuyama, K ^{[1
]}

Aoyama, N ^{[1
]}

Soma, K ^{[1
]}

Ohwada, T ^{[1
]}

Izumi, T ^{[1
]}

机构：

[1] Kitasato Univ, Sch Med, Dept Internal Med & Cardiol, Sagamihara, Kanagawa 2288555, Japan

来源：

INTERNAL MEDICINE | 1999年 / 38卷 / 03期

关键词：

hypoalbuminemia; caffeine; atrioventricular block; ventricular tachycardia;

D O I：

10.2169/internalmedicine.38.252

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 61-year-old woman developed hypokalemia, atrioventricular block and ventricular tachycardia with syncope after habitual drinking 2 to 3 liters of oolong tea per day. She had been suffering from rheumatoid arthritis and Sjogren's syndrome and her serum albumin was decreased (2.9 g/dl). Oolong tea contains caffeine at approximately 20 mg/dl. Great quantities of caffeine can induce hypokalemia. The serum protein binding caffeine is albumin. Accordingly, in patients with hypoalbuminemia, caffeine is apt to induce hypokalemia. This case suggested that great quantities of oolong tea, one of the so-called "healthy" drinks, result in serious symptoms for patients with hypoalbuminemia.

引用

页码：252 / 256

页数：5

共 13 条

[1]

ANDERSSON KE, 1980, EUR J RESPIR DIS, V61, P17

[2] MATURATION OF CAFFEINE ELIMINATION IN INFANCY [J].

ARANDA, JV ;

COLLINGE, JM ;

ZINMAN, R ;

WATTERS, G .

ARCHIVES OF DISEASE IN CHILDHOOD, 1979, 54 (12) :946-949

[3] PROTEIN-BINDING OF CAFFEINE IN YOUNG AND ELDERLY MALES [J].

BLANCHARD, J .

JOURNAL OF PHARMACEUTICAL SCIENCES, 1982, 71 (12) :1415-1418

[4]

DEGUBAREFF T, 1965, J PHARMACOL EXP THER, V148, P202

[5] THE ARRHYTHMOGENIC EFFECTS OF CAFFEINE IN HUMAN-BEINGS [J].

DOBMEYER, DJ ;

STINE, RA ;

LEIER, CV ;

GREENBERG, R ;

SCHAAL, SF .

NEW ENGLAND JOURNAL OF MEDICINE, 1983, 308 (14) :814-816

[6]

GREDEN JF, 1979, THE SCIENCES, V19, P6

[7] METABOLIC ABNORMALITIES ASSOCIATED WITH INTENTIONAL THEOPHYLLINE OVERDOSE [J].

HALL, KW ;

DOBSON, KE ;

DALTON, JG ;

GHIGNONE, MC ;

PENNER, SB .

ANNALS OF INTERNAL MEDICINE, 1984, 101 (04) :457-462

[8] EFFECTS OF AMINOPHYLLINE ON THRESHOLD FOR INITIATING VENTRICULAR-FIBRILLATION DURING RESPIRATORY-FAILURE [J].

HOROWITZ, LN ;

SPEAR, JF ;

MOORE, EN ;

ROGERS, R .

AMERICAN JOURNAL OF CARDIOLOGY, 1975, 35 (03) :376-379

[9] CHARACTERISTIC OF RATE RESPONSE WHICH IS COMMON TO SEVERAL COMPOUNDS THAT STIMULATE HEART [J].

HUGHES, MJ ;

CORET, IA .

JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY, 1975, 7 (08) :613-624

[10] CAFFEINE OVERDOSE IN AN ADOLESCENT MALE [J].

LESON, CL ;

MCGUIGAN, MA ;

BRYSON, SM .

JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY, 1988, 26 (5-6) :407-415

← 1 2 →