An unusual presentation of primary renal hypokalemia-hypomagnesemia (Gitelman's syndrome)
Autor: | Vivienne Ezzat, Sumith C. Abeygunasekara, Tarun Bansal |
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Rok vydání: | 2010 |
Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Presyncope Ataxia business.industry Metabolic alkalosis General Medicine Critical Care and Intensive Care Medicine medicine.disease Hypocalciuria Hypokalemia Sudden cardiac death Heart Arrest Blurred vision Nephrology Ventricular fibrillation Ventricular Fibrillation medicine Humans medicine.symptom Intensive care medicine business Gitelman Syndrome |
Zdroj: | Renal failure. 32(3) |
ISSN: | 1525-6049 |
Popis: | Gitelman's syndrome, or congenital hypokalemic hypomagnesemic hypocalciuria with metabolic alkalosis, is widely described as a benign or milder variant of Bartter's syndrome and most commonly presents with transient periods of weakness and fatigue, presyncope, vertigo, ataxia, and blurred vision, though aborted sudden cardiac death has also been rarely reported. Despite this there are limited data in the literature regarding the formal cardiac evaluation of patients with Gitelman's syndrome. We present the case of a gentleman with Gitelman's syndrome who initially presented to his primary physician with symptoms suggestive of an upper respiratory tract infection and subsequently survived a ventricular fibrillation (VF) cardiac arrest in the community. We review the literature regarding possible life-threatening cardiac complications in these patients. |
Databáze: | OpenAIRE |
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