arrhythmias such as QT interval prolongation and ventricular arrhythmias. Supraventricular arrhythmias and sinus bradycardia were rarely reported. We present the clinical case of an 84-year-old man who developed a persistent bradycardia after a hypoglycaemic episode.After restoration of normoglycaemia, bradycardia persisted for almost eighteen hours, without QT prolongation or any symptoms. Hypoglycaemia is an unusual cause of bradyarrhytmias mainly mediated by neurologic and endocrine systems. Our clinicalcase supports recent recommendations for more relaxed inpatient glycaemic targets in frail older adults who may be particularly vulnerable to hypoglycaemia.
Persistent bradycardia after hypoglycaemia: a case report and a brief literature review / Espinosa, Emma; Cherubini, Antonio; Montanari, Roberto; Serra, Rocco; Lamanna, Pierpaolo; Gasperini, Beatrice. - In: GERIATRIC CARE. - ISSN 2465-1109. - STAMPA. - 5:1(2019), pp. 1-3. [10.4081/gc.2019.7670]
Persistent bradycardia after hypoglycaemia: a case report and a brief literature review
Espinosa, Emma
Supervision
;Cherubini, AntonioMembro del Collaboration Group
;
2019-01-01
Abstract
arrhythmias such as QT interval prolongation and ventricular arrhythmias. Supraventricular arrhythmias and sinus bradycardia were rarely reported. We present the clinical case of an 84-year-old man who developed a persistent bradycardia after a hypoglycaemic episode.After restoration of normoglycaemia, bradycardia persisted for almost eighteen hours, without QT prolongation or any symptoms. Hypoglycaemia is an unusual cause of bradyarrhytmias mainly mediated by neurologic and endocrine systems. Our clinicalcase supports recent recommendations for more relaxed inpatient glycaemic targets in frail older adults who may be particularly vulnerable to hypoglycaemia.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
