We read the report of Srivali et al [
[1]
] with great interest and wish to share our experiences with atropine-resistant bradycardia.
Symptomatic bradycardia is a frequent presentation in the emergency department (ED),
although the causes may not readily be demonstrable during the early phase of management.
Invariably, atropine is administered to treat such cases, and many respond well. However,
a few continue to have persistent symptomatic bradycardia and are often referred for
temporary cardiac pacing.To read this article in full you will need to make a payment
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References
- Hyperkalemia-induced pacemaker dysfunction.Am J Emerg Med. 2013; 31: 879-880
- Electrocardiographic manifestations of hyperkalaemia.Am J Emerg Med. 2000; 18: 721-729
- Retrospective review of the frequency of ECG changes in hyperkalemia.Clin J Am Soc Nephrol. 2008; 3: 324-330
- Electrocardiography is unreliable in detecting potentially lethal hyperkalaemia in haemodialysis patients.Nephrol Dial Transplant. 2002; 17: 1639-1642
- Hyperkalemia in hospitalized patients.Int Urol Nephrol. 2000; 32: 177-180
- Atropine-resistant bradycardia due to hyperkalaemia.Emerg Med J. 2008; 25: 611-612
Article Info
Publication History
Published online: July 31, 2013
Accepted:
June 22,
2013
Received:
June 15,
2013
Footnotes
â?†Financial support: Nil.
��Conflict of interest: Nil.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
