Document Detail

Atropine-resistant bradycardia due to hyperkalaemia.
MedLine Citation:
PMID:  18723723     Owner:  NLM     Status:  MEDLINE    
Symptomatic sinus bradycardia is routinely treated in the emergency department with atropine and pacing. Two cases are presented that illustrate the importance of considering hyperkalaemia, particularly in the presence of atropine-resistant symptomatic bradycardia. The administration of calcium in such cases acts to stabilise the myocardium and resolve the bradycardia. Blood gas analysis provides a rapid estimate of serum potassium concentrations, facilitating timely treatment.
T J Slade; J Grover; J Benger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  25     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-25     Completed Date:  2008-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  611-2     Citation Subset:  IM    
Emergency Department, Bristol Royal Infirmary, Marlborough Street, Bristol, UK.
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MeSH Terms
Aged, 80 and over
Anti-Arrhythmia Agents / therapeutic use*
Atropine / therapeutic use*
Bradycardia / drug therapy*,  etiology*
Drug Resistance
Hyperkalemia / complications*
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 51-55-8/Atropine

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