Complete atrioventricular block with unwidened QRS complex during hyperkalemia

被引:7
作者
Tiberti, G [1 ]
Bana, G [1 ]
Bossi, M [1 ]
机构
[1] Gen Hosp, Div Cardiol, Lecco, Italy
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1998年 / 21卷 / 07期
关键词
hyperkalemia; atrioventricular block;
D O I
10.1111/j.1540-8159.1998.tb00222.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purkinje and ventricular myocardial fibers are thought to be more sensitive to hyperkalemia than sinoatrial and atrioventricular (AV) nodes, although complete AV block due to hyperkalemia can occur. We describe a case in which hyperkalemia in a patient affected by renal failure is responsible for complete AV block without QRS complex prolongation. Temporary endoventricular pacing uas essential in restoration of adequate renal blood flow and excretion of exceeding serum potassium with subsequent normalization of AV conduction.
引用
收藏
页码:1480 / 1482
页数:3
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