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Bradycardia related to hypoglycaemia.
Sergio Navarro-Gutiérrez1, Félix González-Martínez, Maria Teresa Fernández-Pérez
1Department of Emergency Medicine, Hospital Virgen de la Luz, Cuenca, Spain. sergionavarrog@hotmail.com
Summary
Hypoglycemia, or low blood glucose, can cause temporary atrial fibrillation, a type of irregular heartbeat. This condition can resolve with proper treatment, highlighting the importance of monitoring glucose levels during cardiac events.
Area of Science:
- Cardiology
- Endocrinology
- Internal Medicine
Background:
- Blood glucose level fluctuations are recognized contributors to electrocardiogram (ECG) abnormalities.
- Arrhythmias, including atrial fibrillation, have been linked to metabolic disturbances.
Observation:
- An 81-year-old female patient experienced transient atrial fibrillation during treatment for hypoglycemia.
- The patient was receiving intravenous dextrose infusion for low blood glucose levels.
Findings:
- The patient's atrial fibrillation resolved, and a normal sinus rhythm was restored after glucose level management.
- This case illustrates a direct correlation between hypoglycemia and the occurrence of transient atrial fibrillation.
Implications:
- Clinicians should consider hypoglycemia as a potential cause of new-onset or transient atrial fibrillation.
- Monitoring blood glucose levels is crucial in patients presenting with unexplained arrhythmias, particularly those with or at risk for metabolic disturbances.