Ventricular Standstill Following Intravenous Erythromycin and Borderline Hypokalemia

Khan, Saad A. and Ramzy, John and Papachristos, Danae A. and George, Nayana and Fisher, Leon (2016) Ventricular Standstill Following Intravenous Erythromycin and Borderline Hypokalemia. European Journal of Case Reports in Internal Medicine, 3 (3). pp. 1-4. ISSN 2284-2594

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Ventricular standstill (VS) is a potentially fatal arrhythmia that is usually associated with syncope, if prolonged and is rarely asymptomatic[1]. Its mechanism involves either a lack of supraventricular impulse or an interruption in the transmission of these signals from the atria to the ventricles, resulting in a sudden loss of cardiac output[2]. Although rare, ventricular arrhythmias have been associated with intravenous (IV) erythromycin. However, to our knowledge, VS has not been reported following the administration of IV erythromycin. The Authors describe a rare case of asymptomatic VS and subsequent third-degree atrioventricular block, following the administration of IV erythromycin in a 49-year-old woman with borderline hypokalemia. Through this case, the Authors highlight the importance of cardiac monitoring and electrolyte replacement when administering IV erythromycin, as well as discuss several other mechanisms that contribute to ventricular arrhythmias.

Item Type: Article
Uncontrolled Keywords: Arrhythmias; ventricular standstill; erythromycin
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.1 Malattie del sistema cardiovascolare
Depositing User: Chiara D'Arpa
Date Deposited: 21 Sep 2016 07:23
Last Modified: 21 Sep 2016 07:23

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