Hypokalemia in a patient with heart failure and atrial fibrillation as a predictor of life-threatening arrhythmia
- 作者: Tatarintseva Z.G.1,2, Katushkina Y.A.1,2, Kosmacheva E.D.1,2, Babicheva O.V.1,2
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隶属关系:
- Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of Krasnodar territory
- Kuban State Medical University of the Ministry of Healthcare of Russia
- 期: 卷 10, 编号 6 (2024)
- 页面: 122-128
- 栏目: CLINICAL CASES
- URL: https://journals.eco-vector.com/2412-4036/article/view/636381
- DOI: https://doi.org/10.18565/therapy.2024.6.122-128
- ID: 636381
如何引用文章
详细
Atrial fibrillation (AF) is the most common arrhythmia in patients with heart failure (HF). Growing evidence indicates an interaction between hypokalemia and AF. The presented clinical case demonstrates one of the life-threatening complications of hypokalemia in a patient with HF and AF – development of ventricular fibrillation, which was successfully terminated by electropulse therapy and did not recur in the presence of antiarrhythmic therapy and hypokalemia correction. Low potassium level could be eliminated by titrating mineralocorticoid receptor antagonists. In addition, to increase K+ level in tissues, it is advisable to take drugs containing high doses of potassium and magnesium aspartate. This clinical example emphasizes the critical importance of adequate drug therapy to prevent life-threatening complications such as ventricular fibrillation.
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作者简介
Zoya Tatarintseva
Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of Krasnodar territory; Kuban State Medical University of the Ministry of Healthcare of Russia
编辑信件的主要联系方式.
Email: z.tatarintseva@list.ru
ORCID iD: 0000-0002-3868-8061
MD, PhD (Medicine), head of the Cardiology Department; assistant at the Department of cardiac surgery and cardiology of the Faculty of advanced training and professional retraining of specialists
俄罗斯联邦, Krasnodar; KrasnodarYulia Katushkina
Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of Krasnodar territory; Kuban State Medical University of the Ministry of Healthcare of Russia
Email: ukadoc@gmail.com
ORCID iD: 0009-0009-7334-9928
MD, endocrinologist at the Department of endocrinology; assistant at the Department of therapy No. 1 of the Faculty of advanced training and professional retraining of specialists
俄罗斯联邦, Krasnodar; KrasnodarElena Kosmacheva
Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of Krasnodar territory; Kuban State Medical University of the Ministry of Healthcare of Russia
Email: kosmachova_h@mail.ru
ORCID iD: 0000-0001-5690-2482
deputy chief physician for medical affairs; MD, Dr. Sci. (Medicine), professor, head of the Department of therapy No. 1 of the Faculty of advanced training and professional retraining of specialists
俄罗斯联邦, Krasnodar; KrasnodarOlga Babicheva
Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of Krasnodar territory; Kuban State Medical University of the Ministry of Healthcare of Russia
Email: babolga@mail.ru
ORCID iD: 0000-0003-3010-492X
MD, PhD (Medicine), cardiologist; associate professor of the Department of cardiac surgery and cardiology of the Faculty of advanced training and professional retraining of specialists
俄罗斯联邦, Krasnodar; Krasnodar参考
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