Reversible myocardial dysfunction in a patient with alcoholic ketoacidosis: A role for hypophosphatemia

American Journal of Emergency Medicine

Volumn 16, Issue 4, 1998, Pages 371-373

  Machiels, J P ^a   Dive, A ^a   Donckier, J ^a   Installe E ^a  

^a UNIVERSITY HOSPITAL OF MONT GODINNE   (Belgium)

Author keywords

Alcoholic ketoacidosis; Heart failure; Hypophosphatemia

Indexed keywords

PHOSPHORUS;

ADULT; ALCOHOL ABUSE; ARTICLE; CASE REPORT; CLINICAL FEATURE; ECHOCARDIOGRAPHY; FEMALE; HEART DISEASE; HEMODYNAMICS; HUMAN; HYPOPHOSPHATEMIA; KETOACIDOSIS; PRIORITY JOURNAL; ST SEGMENT;

EID: 0031854643     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0735-6757(98)90130-9     Document Type: Article

References (23)

1. Wrenn KD, Slovis CM, Minion GE, et al: The syndrome of alcoholic ketoacidosis. Am J Med 1991;91:119-128
2. Fulop M, Hoberman HD: Alcoholic ketosis. Diabetes 1975;24: 785-790
3. Levy L, Duga J, Girgis M: Ketoacidosis associated with alcoholism in non-diabetic subjects. Ann Intern Med 1973;78:213-219
4. Fulop M: Alcoholic ketoacidosis. Endocrinol Metab Clin North Am 1993;22:209-219
5. Halperin ML, Hammeke M, Josse RG, Jungas RL: Metabolic acidosis in the alcoholic: A pathophysiologic approach. Metabolism 1983;32:308-315
6. Hasselstrom L, Winberley PD, Nielsen VG: Hypophosphatemia and acute respiratory failure in a diabetic patient. Intens Care Med 1986;12:429-431
7. Darsee JR, Nutter DO: Reversible severe congestive cardiomyopathy in three case of hypophosphatemia. Ann Intern Med 1978;89: 867-870
8. Fuller TJ, Nichols WW, Brenner BJ, Peterson JC: Reversible depression in myocardial performance in dogs with experimental phosphorus deficiency. J Clin Invest 1978;62:1194-1200
9. Capasso JM, Aronso RS, Strobeck JE, et al: Effects of experimental phosphate deficiency on action potential characteristics and contractile performance of rat myocardium. Cardiovasc Res 1982;16: 71-79
10. Zazzo JF, Troche G, Ruel P, Maintenant J: High incidence of hypophosphatemia in surgical intensive care patients: Efficacity of phosphorus therapy on myocardial function. Intens Care Med 1995; 21:826-831
11. Yu G, Lee D: Clinical disorders of phosphorus metabolism. West J Med 1987;147:569-576
12. Zagola GP, Chernow B: Insulin and oral hypoglycemics. In Chernow B (eds): The Pharmacological Approach to the Critically III Patient. Baltimore, MD, Williams & Wilkins, 1988, pp 637-658
13. Aubier M, Murciano D, Lecocguic Y, et al: Effect of hypophosphatemia on diaphragmatic contractility in patients with acute respiratory failure. N Engl J Med 1985;313:420-424
14. Knochel J: Hypophosphatemia in the Alcoholic. Arch Intern Med 1980;140:613-614
15. Miller PD, Heinig RE, Waterhouse C: Treatment of alcoholic acidosis: The role of dextrose and phosphorus. Arch Intern Med 1978;138:67-72
16. William HE: Alcoholic hypoglycemia and ketoacidosis. Med Clin North Am 1984;68:33-38
17. Wilson HK, Kener SP, Lea S, et al: Phosphate therapy in diabetic ketoacidosis. Arch Intern Med 1982;142:517-524
18. Fisher JN, Kitabchi AE: A randomized study of phosphate therapy in the treatment of diabetic ketoacidosis. J Clin Endocrinol Metab 1983;57:177-180
19. Nanji AA: Symptomatic hypocalcemie due to hyperphosphatemia with alcoholic ketoacidosis. South Med J 1984;77:540 (letter)
20. De Marchi S, Cecchin E, Basile A, et al: Renal tubular dysfunction in chronic alcohol abuse -Effects of abstinence. N Engl J Med 1993;329:1927-1937
21. Cumming AD, Farquhar JR, Bouchier IA: Refeeding hypophosphatemia in anorexia nervosa and alcoholism. BMJ 1987;295:490-491
22. Gaches F, Freneau E, Le Gall, et al: Alcoholics ketoacidosis: clinical course and laboratory results. Presse Med 1996;25:924-928
23. Hojer J: Severe metabolic acidosis in the alcoholic: Differential diagnosis and management. Hum Exp Toxicol 1996;15:482-488