Hypoglycemia manifested by sinus bradycardia: A report of three cases

被引:20
作者
Pollock, G
Brady, WJ
Hargarten, S
DeSilvey, D
Carter, CT
机构
[1] UNIV VIRGINIA,HLTH SCI CTR,SCH MED,DEPT EMERGENCY MED,CHARLOTTESVILLE,VA 22908
[2] UNIV PITTSBURGH,DEPT EMERGENCY MED,PITTSBURGH,PA
[3] MED COLL WISCONSIN,DEPT EMERGENCY MED,MILWAUKEE,WI 53226
[4] UNIV VIRGINIA,SCH MED,DEPT INTERNAL MED,DIV CARDIOL,CHARLOTTESVILLE,VA 22908
关键词
sinus bradycardia; bradyarrhythmia; hypoglycemia; diabetes mellitus; anorexia nervosa; cerebrovascular accident;
D O I
10.1111/j.1553-2712.1996.tb03495.x
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Three cases are reported of hypoglycemia manifested by profound sinus bradycardia and fatigue, which responded to IV dextrose with prompt normalization of the cardiac rhythm. The cases involved 3 different patients and disease processes: a young female who had anorexia nervosa and profound malnutrition; an elderly, nondiabetic male who subsequently experienced a transient ischemic attack; and a patient who had diabetes mellitus managed with chronic, subcutaneous insulin administration. It is vitally important that the emergency physician recognize unusual clinical manifestations-of hypoglycemia and fully evaluate such scenarios when hypoglycemia may occur. Untreated, hypoglycemia may result in significant chronic morbidity, and rarely, in death, Bradyarrhythmias-particularly sinus bradycardia-should be added to the list of potential clinical manifestations of hypoglycemia.
引用
收藏
页码:700 / 707
页数:8
相关论文
共 50 条
[31]  
LUBER S, 1996, IN PRESS AM J EMERG
[32]   DIVERSE MECHANISMS OF UNEXPECTED CARDIAC-ARREST IN ADVANCED HEART-FAILURE [J].
LUU, M ;
STEVENSON, WG ;
STEVENSON, LW ;
BARON, K ;
WALDEN, J .
CIRCULATION, 1989, 80 (06) :1675-1680
[33]   HYPOGLYCEMIA - CAUSES, NEUROLOGICAL MANIFESTATIONS, AND OUTCOME [J].
MALOUF, R ;
BRUST, JCM .
ANNALS OF NEUROLOGY, 1985, 17 (05) :421-430
[34]   EFFECT OF HYPOGLYCEMIA ON FETAL BRAIN FUNCTION AND METABOLISM [J].
MANN, LI ;
DUCHIN, S ;
HALVERST.J ;
MASTRANT.J ;
WEISS, R ;
SCHULMAN, J .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1973, 117 (01) :45-50
[35]   ALTERED RESPONSES TO HYPOGLYCEMIA OF HEALTHY ELDERLY PEOPLE [J].
MENEILLY, GS ;
CHEUNG, E ;
TUOKKO, H .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1994, 78 (06) :1341-1348
[36]   STABILIZATION OF PLASMA GLUCOSE DURING FASTING - NORMAL VARIATIONS IN 2 SEPARATE STUDIES [J].
MERIMEE, TJ ;
TYSON, JE .
NEW ENGLAND JOURNAL OF MEDICINE, 1974, 291 (24) :1275-1278
[37]  
NAKAGAWA K, 1987, ENDOCRINOL JAPON, V34, P381
[38]   CARDIAC METABOLISM - EMERGENCE, DECLINE, AND RESURGENCE .1. [J].
OPIE, LH .
CARDIOVASCULAR RESEARCH, 1992, 26 (08) :721-733
[39]  
Palossy B, 1977, Adv Cardiol, V19, P280
[40]  
PAPE J, 1981, ACTA MED SCAN S, V645, P105