RESEARCH PAPER
Sudden cardiac arrest induced by hypoglycemia and hypokalemia in a chronic alcoholic patient
| 1 | Chair and Department of Internal Medicine, Medical University, Lublin, Poland |
| 2 | Student Scientifi c Society, Medical University, Lublin, Poland |
| 3 | Chair and Department of Nephrology, Medical University, Lublin, Poland |
CORRESPONDING AUTHOR
Andrzej Prystupa
Department of Internal Medicine, Medical University, Staszica 16, 20-081 Lublin, Poland.
Department of Internal Medicine, Medical University, Staszica 16, 20-081 Lublin, Poland.
J Pre Clin Clin Res. 2010;4(1):74–76
KEYWORDS
ABSTRACT
A 44-year-old alcoholic patient was admitted to the Cardiac Intensive Care Unit due to sudden cardiac arrest in the mechanism of asystole. Additional examinations revealed hypoglycemia 13 mg/dl and hypokalemia 3.27 mmol/l. Thanks to prompt resuscitation and intravenous infusion of 40% glucose and potassium, the condition of the patient improved. Based on the case reported, causes of sudden cardiac death in alcoholics are discussed.
REFERENCES (13)
1.
Sovari A, Kocheril AG, Baas AS: Sudden Cardiac Death, at: http:// emedicine.medscape.com/article/151907-overview.
2.
Brown TM, Harvey AM: Spontaneous hypoglycemia in ‘smoke’ drinkers. JAMA 941, 117, 12-15.
3.
Robinson RT, Harris ND, Ireland RH, Lee S, Newman C, Heller SR: Mechanisms of abnormal cardiac repolarisation during insulin-induced hypoglycemia. Diabetes 2003, 52, 1469-1474.
4.
Gordon T, Kannel WB: Drinking habits and cardiovascular disease. The Framingham Study. Am Heart J 1983, 105, 667-673.
5.
Kupari M, Koskinen P: Alcohol, cardiac arrhythmias and sudden death. Novartis Found Symp 1998, 216, 68-79, discussion 79-85.
6.
Wannamethee G, Shaper AG: Alcohol and sudden cardiac death. Br Heart J, 1992, 68, 443–448.
7.
Urbano-Marquez A, Estruch R, Navarro-Lopez F, Grau JM, Mont L, Rubin E: The eff ects of alcoholism on skeletal and cardiac muscles. N Engl J Med 1989, 320, 409–415.
9.
Garland PB, Newsholme EA, Randle PJ: Regulation of glucose uptake by muscle. 9. Eff ects of fatty acids and ketone bodies, and of alloxandiabetes and starvation, on pyruvate metabolism and on lactatepyruvate and L-glycerol 3-phosphate-dihydroxyacetone phosphate concentration ratios in rat heart and rat diaphragm muscles. Biochem J, 1964, 93, 665-678.
10.
Devenyi P: Alcoholic hypoglycemia and alcoholic ketoacidosis: sequential events of the same process?. CMA J, 1982, 15, 513.
11.
Shaper AG, Wannamethee G, Whincup PH: Alcohol and blood pressure in middle-aged British men. J Hum Hypertens 1988, 2, 71-78.
12.
Suhonen 0, Aromaa A, Reunanen A, Knekt P: Alcohol consumption and sudden coronary death in middle-aged Finnish men. Acta Med, Scand 1987, 221, 335-341.
13.
Shaper AG: Alcohol and mortality: a review of prospective studies. Br J Addict, 1990, 85, 837-847.
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