[Complete atrioventricular block due to hyperkalemia caused by rhabdomyolysis during treatment with statin].
نویسندگان
چکیده
Complete atrioventricular block can occur, among others, in case of hyperkalemia, that is a life-threatening complication of rhabdomyolysis. Statins constitute the medication group that is especially associated with a possibility of muscle complications. Frequency of statin-associated myalgia is 5-10%, and potentially fatal rhabdomyolysis--0.02-0.09%. We describe a male patient who was admitted due to syncope caused by complete atrioventricular block. Iatrogenic rhabdomyolysis with life-threatening hyperkalemia, that was related to statin, was diagnosed. After application of suitable pharmacotherapy, conduction abnormalities resolved. The patient was discharged in a good condition.
منابع مشابه
Hyperkalemia-induced complete heart block
Background: Potassium, as an extracellular ion, plays an important role in the electrophysiologic function of the myocardium and any change in extracellular concentration of this ion might have a marked impression upon myocyte electrophysiologic gain. High serum potassium levels are thought to impair pulse conduction in Purkinje fibers and ventricles more than that in the Atrio...
متن کاملWenckebach Block due to Hyperkalemia: A Case Report
Hyperkalemia is a commonly encountered electrolyte abnormality that can significantly alter normal cardiac conduction. Potentially lethal dysrhythmias associated with hyperkalemia include complete heart block and Mobitz Type II second-degree AV block. We report a unique case of Mobitz Type 1 second-degree atrioventricular (AV) block, known commonly as Wenckebach, due to hyperkalemia. The patien...
متن کاملRhabdomyolysis due to Severe Hypernatremia Caused by Dehydration, in a Child with Gastroenteritis: a Case Report
Background Rhabdomyolysis is considered a rare medical condition in pediatric population. Case Report We report our experience on a one year old girl referred to Shiraz Nemazee Hospital, Southern Iran with rhabdomyolysis due to severe hypernatremia, secondary to gastroenteritis. Discussion Rhabdomyolysis should be taken in to consideration in hypernatremic states, as it may lead to severe conse...
متن کاملTransient Trifascicular Block in Severe Hyperkalemia.
Hyperkalemia is a commonly encountered electrolyte abnormality that can significantly alter normal cardiac conduction. Potentially lethal dysrhythmias associated with hyperkalemia include complete heart block and Mobitz Type II second-degree AV block. We report a case of trifascicular block, due to hyperkalemia. The patient's symptoms and electrocardiogram (ECG) evidence of trifascicular block ...
متن کاملHeart attack or rhabdomyolysis?
Statins are commonly used drugs in the treatment of hyperlipidemia (HL), despite some undesirable side effects. These range from mild symptoms such as myopathy, muscle weakness and myalgia to severe muscle weakness associated with chronic myopathy and acute renal failure (ARF) as a result of rhabdomyolysis. The most serious and deadly side effect of statins is rhabdomyolysis. The case presente...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Kardiologia polska
دوره 68 12 شماره
صفحات -
تاریخ انتشار 2010