The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Complete Atrioventricular Block Associated with Hyponatremia

저나트륨혈증과 관련된 완전방실차단 1예

  • Jeong, JI-Joong (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Dae-Hyeok (Department of Internal Medicine, Inha University School of Medicine) ;
  • Yoo, Seong-Ill (Department of Internal Medicine, Inha University School of Medicine) ;
  • Shin, Sung-Hee (Department of Internal Medicine, Inha University School of Medicine) ;
  • Lee, Myung-Dong (Department of Internal Medicine, Inha University School of Medicine) ;
  • Ye, Jea-Ho (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jang, Ji-Hun (Department of Internal Medicine, Inha University School of Medicine)
  • 정지중 (인하대학교 의학전문대학원 내과학교실) ;
  • 김대혁 (인하대학교 의학전문대학원 내과학교실) ;
  • 우성일 (인하대학교 의학전문대학원 내과학교실) ;
  • 신성희 (인하대학교 의학전문대학원 내과학교실) ;
  • 이명동 (인하대학교 의학전문대학원 내과학교실) ;
  • 예재호 (인하대학교 의학전문대학원 내과학교실) ;
  • 장지훈 (인하대학교 의학전문대학원 내과학교실)
  • Published : 2012.07.01
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Abstract

We report the case of a 77-year-old woman who developed complete atrioventricular (AV) block during an episode of thiazide-induced hyponatremia. She was taking hydrochlorothiazide to treat essential hypertension; she had no definite organic disease of the heart or lungs. Generally, the serum sodium concentration does not have a marked effect on cardiac conduction. However, we experienced a case of complete AV block associated with hyponatremia. This was treated successfully by correcting the electrolyte imbalance. Complete AV block associated with hyponatremia is very rare. To our knowledge, this is the first reported case in Korea.

일반적으로 저나트륨혈증은 심전도계에 심각한 영향을 미치지 않는 것으로 알려져 있으나 본 저자들은 저나트륨혈증으로 인해 완전방실차단이 발생한 사례를 경험하였고 저나트륨혈증을 교정함으로써 방실전도를 회복시킨 바 있어 문헌고찰과 함께 보고한다.

Keywords

References

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  2. Atrioventricular conduction defect associated with severe hyponatremia vol.91, pp.3, 2012, https://doi.org/10.15386/cjmed-846