Open AccessSevere bradycardia caused by diabetic ketoacidosis
Author(s) -
João Ferreira,
José Luı́s Martins,
Lino Gonçalves
Publication year - 2021
Publication title -
cardiovascular journal of south africa/cardiovascular journal of southern africa
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.378
H-Index - 35
eISSN - 1680-0745
pISSN - 1015-9657
DOI - 10.5830/cvja-2020-026
Subject(s) - diabetic ketoacidosis , bradycardia , medicine , confusion , context (archaeology) , ketoacidosis , emergency department , intensive care medicine , diabetes mellitus , cardiology , pediatrics , medical emergency , heart rate , type 1 diabetes , endocrinology , blood pressure , psychology , paleontology , psychiatry , psychoanalysis , biology
Atrial standstill is an uncommon but serious clinical entity that is often unrecognised in the clinical setting. Its diagnosis and treatment should be swift as malignant arrhythmias and thromboembolic complications can arise. We present a 79-year-old man brought to our emergency department with acute confusion, heart failure and severe bradycardia in the context of diabetic ketoacidosis, and discuss the diagnosis and management of this arrhythmic condition.