Newer Algorithms in Bradycardia Management

Sohinki, Daniel; Obel, Owen

doi:10.1016/j.ccl.2014.01.004

Cited by 3 publications

(4 citation statements)

References 59 publications

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“…SVT is a broad terminology used to describe arrhythmias above or involving atrioventricular node (AVN). 7 SVTs are a rare, reported complication of DKA. Factors precipitating SVTs in DKA could be either the severe acidosis or the accompanying electrolyte abnormalities like hypomagnesaemia or hypophosphatemia.…”

Section: Discussionmentioning

confidence: 99%

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Pituitary Apoplexy Following Severe Diabetic Ketoacidosis, With Two Uncommon Complications of Supraventricular Tachycardia and Acute Limb Ischemia in a Patient with Neglected Pituitary Adenoma and Undiagnosed Diabetes Mellitus: A Rare Clinical Association

et al. 2022

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Pituitary apoplexy (PA) is a clinical emergency arising from acute ischemia or hemorrhage of the pituitary gland. A small subset of pituitary adenomas present with an apoplectic crisis, with common symptoms being headache, nausea/vomiting, visual impairment, ophthalmoplegia, altered sensorium, panhypopituitarism, etc. Though diabetic ketoacidosis (DKA) is an established complication of uncontrolled diabetes mellitus, its association with PA is extremely rare. Likewise, supraventricular tachycardia (SVT) and acute limb ischemia (ALI) have rare, reported association with DKA. We present one such case of rare associations seen in our clinical practice. A 20-year-old woman was brought to our emergency room with headache, breathlessness, and altered sensorium. Clinical and biochemical evaluation revealed SVT, DKA, and right lower limb ALI. On enquiry, patient was found to be diagnosed with pituitary adenoma 2 years ago and lost to follow-up. PA was detected on neuroimaging and confirmed histopathologically. Possibility of PA presenting as DKA and its sequelae exists.

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Section: Discussionmentioning

confidence: 99%

“…Vagal maneuvers and adenosine (AVN blocker) are the mainstay of treatment for SVTs in emergency conditions. 7 Additional usage of antiarrhythmic medications is required in refractory cases. There are only three case reports available of DKA complicated by SVTs in young patients with type 1 diabetes ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Pituitary Apoplexy Following Severe Diabetic Ketoacidosis, With Two Uncommon Complications of Supraventricular Tachycardia and Acute Limb Ischemia in a Patient with Neglected Pituitary Adenoma and Undiagnosed Diabetes Mellitus: A Rare Clinical Association

et al. 2022

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“…Most studies regarding automated threshold testing review ventricular threshold testing. This was found to be safe and improve longevity . However, not much is published about automated atrial threshold testing, especially for Biotronik devices.…”

Section: Discussionmentioning

confidence: 99%

“…This was found to be safe and improve longevity. [6][7][8][9][10][11][12] However, not much is published about automated atrial threshold testing, especially for Biotronik devices. This leaves us with little or no evidence about safety of the existing, often used algorithms.…”

Section: Discussionmentioning

confidence: 99%