An unusual cause of ventricular fibrillation

Within hours she developed metabolic alka losis (pH 7?46 and bicarbonate 28?1 mmol/L) and hypertension with blood pressure measurements up to 180/105 mm Hg; intra venous antihypertensive therapy was given. Antihypertensive medication was gradually reduced over several weeks. 12 weeks later, stress-r...

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Published inThe Lancet (British edition) Vol. 373; no. 9669; p. 1144
Main Authors Gerritsen, Karin GF, Dr, Meulenbelt, Jan, Prof, Spiering, Wilko, MD, Kema, Ido P, Prof, Demir, Ayse, MD, van Driel, Vincent JHM, MD
Format Journal Article
LanguageEnglish
Published Kidlington Elsevier Ltd 28.03.2009
Elsevier
Elsevier Limited
Subjects
Adult
Alkalosis - chemically induced
Biological and medical sciences
Blood pressure
Cardiac arrhythmia
Cardiac dysrhythmias
Cardiology. Vascular system
Female
General aspects
Glycyrrhiza - poisoning
Heart
Humans
Hypertension
Hypertension - etiology
Hypokalemia - chemically induced
Hypokalemia - complications
Internal Medicine
Medical sciences
Plasma
Ventricular Fibrillation - etiology
Medicine
Arrhythmia
Heart disease
Cause
Cardiovascular disease
Excitability disorder
Ventricular fibrillation
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Summary:Within hours she developed metabolic alka losis (pH 7?46 and bicarbonate 28?1 mmol/L) and hypertension with blood pressure measurements up to 180/105 mm Hg; intra venous antihypertensive therapy was given. Antihypertensive medication was gradually reduced over several weeks. 12 weeks later, stress-rest myocardial SPECT examination showed no perfusion defects, electrocardio gram was normal, and echocardiography showed complete resolution of left ventricular hypertrophy.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(09)60514-6