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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A RARE CASE OF REVERSIBLE HEART BLOCK IN PATIENT WITH ACUTE KIDNEY INJURY AND MILD HYPERKALEMIA
Author
Nishanth Rajanna, Pradeep M. Venkategowda*, Ashwini Murthy, Prasanna Katti
Email
drpradeepmarur@gmail.com
keyword
Bradycardia, Hyperkalemia, Hypotension, Renal failure.
Abstract
Hyperkalemia caused by acute renal failure has variable effect on the myocardial tissue depending upon its concentration in blood. This electrical abnormality varies from prolonged P-R interval to variable degree heart blocks. This is a case report of a 63 year old gentleman known case of diabetes and hypertension (treatment with bisoprolol) who presented to emergency department with complaints of breathlessness associated with chest pain since three days. Examination showed bradycardia, hypotension and bilateral pedal edema. Lab test showed mild hyperkalemia and elevated serum creatinine levels. ECG demonstrated features suggestive of complete heart block. In view of bradycardia, renal failure, AV nodal blocker therapy and hyperkalemia, he was diagnosed that the bradycardia is secondary to synergetic effect of renal failure, mild hyperkalemia and AV nodal blockers therapy. Patient was managed with intravenous fluids, vasopressors, hemodialysis and temporary pacemaker. High level of clinical vigilance and appropriate timely management can reduce mortality.
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