We report an uncommon case of an insulin-treated patient, presenting severe hypoglycemia, coma, marked sinus bradycardia and QT prolongation. Intravenous administration of glucose and atropine awaked the patient and increased heart rate but did not affect QT prolongation. Basal and exercise electrocardiogram excluded primary diseases associated with QT prolongation. Pathophysiologic aspects of electrocardiographic and clinical findings occurring in the hypoglycemic patients are briefly disussed.

Marked sinus bradycardia and QT prolongation in a diabetic patient with severe hypoglicemia / Bolognesi, Roberto; Tsialtas, Dimitri; Bolognesi, Maria Giulia; Giumelli, Claudio. - In: JOURNAL OF DIABETES AND ITS COMPLICATIONS. - ISSN 1056-8727. - 25:(2011), pp. 349-351.

Marked sinus bradycardia and QT prolongation in a diabetic patient with severe hypoglicemia.

BOLOGNESI, Roberto;TSIALTAS, DIMITRI;BOLOGNESI, Maria Giulia;GIUMELLI, Claudio
2011-01-01

Abstract

We report an uncommon case of an insulin-treated patient, presenting severe hypoglycemia, coma, marked sinus bradycardia and QT prolongation. Intravenous administration of glucose and atropine awaked the patient and increased heart rate but did not affect QT prolongation. Basal and exercise electrocardiogram excluded primary diseases associated with QT prolongation. Pathophysiologic aspects of electrocardiographic and clinical findings occurring in the hypoglycemic patients are briefly disussed.
Marked sinus bradycardia and QT prolongation in a diabetic patient with severe hypoglicemia / Bolognesi, Roberto; Tsialtas, Dimitri; Bolognesi, Maria Giulia; Giumelli, Claudio. - In: JOURNAL OF DIABETES AND ITS COMPLICATIONS. - ISSN 1056-8727. - 25:(2011), pp. 349-351.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2407951
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