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Proarrhythmic Effects of Reactive Hypoglycemia
Author(s) -
ROKAS STELIOS,
MAVRIKAKIS MYRON,
ILIOPOULOU ANGELIKI,
MOULOPOULOS SPYRIDON
Publication year - 1992
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1992.tb05130.x
Subject(s) - medicine , tachycardia , refractory period , reentry , cardiology , hypoglycemia , stimulus (psychology) , atrial fibrillation , insulin , ventricular tachycardia , anesthesia , psychology , psychotherapist
A patient with refractory atrioventric‐ular nodal reentry tachycardia is reported in whom it was possible to document that reactive hypoglyce‐mia was the trigger for aggravation of arrhythmia. Over a period of 6 years, a series of electrophysiological studies revealed that, when the patient was in a hypoglycemic state, initiation of tachycardia was easy and most importantly that tachycardia termination by extra‐stimulus pacing always failed. Furthermore, atrial fibrillation was inducible or spontaneously occurred only when the blood glucose level was reduced by IV insulin administration.