Journal of Clinical Case Reports

Department of Cardiac Electrophysiology, National Institute of Cardiovascular Diseases, Karachi, Pakistan

Publications

• Case Report   
  Extreme Bradycardia with Variable Block in Severe Hyperkalemia: A Forgotten Culprit in Brady-Arrhythmia
  Author(s): Han Naung Tun* and Syed Haseeb Raza
  
  Bradycardia is commonly encountered in emergency department. Hyperkalemia may sometime cause bradycardia with block and also synergize with AV node blockers to cause bradycardia and hypoperfusion. We report a 53 years old male with history of hypertension, congestive heart failure and coronary artery disease was admitted to hospital for sudden onset of breathlessness. He underwent Percutaneous Coronary Intervention (PCI) to Left Anterior Descending (LAD) artery and Left Circumflex (LCx) artery one year ago and taking Aspilet 80 mg for daily, Clopidogrel 75 mg daily, Ramipril 5 mg daily, Atorvastatin 20 mg daily, Metoprolol 25 mg daily, Spironolactone 25 mg daily and Frusemide 40 mg daily. Significant physical examination was remarkable for a temperature 97.5’F, blood pressure of 110/70 mmHg, heart rate of 40 beats per minute, oxygen saturation was 99% on air and both lung were f.. Read More»
  DOI: 10.37421/2165-7920.2020.10.1371

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