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Non‐paroxysmal arterioventricular junctional tachycardia during postprandial hypoglycaemia in an obese non‐diabetic patient
Author(s) -
PEZZAROSSA A.,
BAGGI V.,
MANCA C.,
BOLOGNESI R.
Publication year - 1993
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1111/j.1365-2796.1993.tb00750.x
Subject(s) - medicine , postprandial , cardiology , pathogenesis , tachycardia , diabetes mellitus , paroxysmal tachycardia , coronary heart disease , electrocardiography , endocrinology
. We have observed the simultaneous occurrence of postprandial hypoglycaemia and a rare cardiac arrhythmia: non‐paroxysmal arteriovenous junctional tachycardia (NPJT) in a patient with suspected coronary heart disease (CHD) submitted to oral glucose tolerance testing (OGTT). To our knowledge the association between hypoglycaemia and NPJT has not been previously described. The pathogenesis of NPJT might involve a myocellular Ca 2+ overloading determined by a hypoglycaemia‐induced catecholamine discharge in a transiently ischaemic myocardium.