Syncope caused by hyperkalemia during use of a combined therapy with the angiotensin-converting enzyme inhibitor and spironolactone

Küçük Resim Yok

Tarih

2010

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Via Medica

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

A 76 year-old woman with a history of coronary artery bypass grafting and prior myocardial infarction was transferred to the emergency loom with loss of consciousness due to marked bradycardia caused by hyperkalemia The concentration of serum potassium was high, and normal sinus rhythm was restored after correction of the serum potassium level The cause of hyperkalemia was considered to be several doses of spiranolactone, an aldosterone antagonist, in addition to the long-term intake of ramipril, an ACE inhibitor This case is a good example of electrolyte imbalance causing acute life threatening cardiac events Clinicians should be alert to the possibility of hyperkalemia, especially in elderly patients using ACE/ARB in combination with potassium sparing agents and who have mild renal disturbance

Açıklama

WOS: 000284662700009
PubMed: 20859899

Anahtar Kelimeler

angiotensin-converting enzyme inhibitors, hyperkalemia, aldosterone, antagonist, syncope

Kaynak

Kardiologia Polska

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

68

Sayı

9

Künye