Hypokalemia, hypovolemia and electrocardiographic changes due to furosemide abuse. Report of one case;Hipokalemia, hipovolemia y repercusión electrocardiográfica secundarias a ingesta prolongada de furosemida. Caso clínico

Revista Medica de Chile

Volumn 135, Issue 11, 2007, Pages 1456-1462

  Aravena, César ^a   Salas, Ignacio ^a   Tagle, Rodrigo ^a   Jara, Aquiles ^a   Miranda, Rodrigo ^a   McNab, Paul ^a   Rodríguez, José A ^a   Valdés, Gloria ^a   Valdivieso D , Andrés ^a,b  

^a PONTIFICIA UNIVERSIDAD CATÓLICA DE CHILE   (Chile)

^b NONE   (Chile)

Author keywords

Furosemide; Hypokalemia; Hypovolemia

Indexed keywords

DIURETIC AGENT; FUROSEMIDE; POTASSIUM CHLORIDE;

ADULT; ARTICLE; CASE REPORT; CHEMICALLY INDUCED DISORDER; DRUG EFFECT; EDEMA; ELECTROCARDIOGRAPHY; FEMALE; HUMAN; HYPOKALEMIA; HYPOVOLEMIA; SELF MEDICATION;

ADULT; DIURETICS; EDEMA; ELECTROCARDIOGRAPHY; FEMALE; FUROSEMIDE; HUMANS; HYPOKALEMIA; HYPOVOLEMIA; POTASSIUM CHLORIDE; SELF MEDICATION;

EID: 38349095554     PISSN: 00349887     EISSN: 07176163     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Ballet S, Nadler CS, Gazes PC. Effect of vomiting due to intestinal obstruction on serum potassium; chemical and electrocardiographic observation in 15 cases; preliminary report. Am J Med 1949; 6: 712-24.
2. Jamison RL, Ross JC, Sufit CR, Parker TE. Surreptitious diuretic ingestión and pseudo-Bartter's syndrome. Am J Med. 1982; 73: 142-7.
3. Halmi KA, Falk JR, Schwartz E. Binge-eating and vomiting: a survey of a college population. Psychol Med 1984; 14: 701-4.
4. Mitchell JE, Hatsukami D, Eckert ED, Pyle RL. Characteristics of 275 patients with bulimia. Am J Psychiatry 1985; 142: 482-5.
5. Helfant RH. Hypokalemia and arrhythmias. Am J Med 1986; 80 (Sup 4A): 13-22.
6. Multiple risk factor intervention trial. JAMA 1982; 248: 1465-77.
7. Khalid A, Clerk A, Patel M. Severe ST depression due to hypokalemia mimicking ischaemia. J Assoc Physicians India. 2005; 3: 297.
8. Ngo A, Lim SH, Charles RA, Goh SH. Electrocardiographic case. Young man with generalized myalgia. Singapore Med J 2005; 46: 38-40.
9. Pascual EE, Cintron GB, Valdez MG, Clark PI. Effect of diuretic therapy on the electrocardiographic response to exercise. Clinical Cardiol 1992; 15: 93-4.
10. Malafronte C, Borsa N, Tedeschi S, Syren Ml, Stucchi S, Bianchetti MG et al. Cardiac arrhythmias due to severe hypokalemia in a patient with classic Bartter disease. Pediatr Nephrol 2004; 19: 1413-5.
11. Foglia PE, Bettinelli A, Tosetto C, Cortesi C, Crosazzo L, Edefonti A, Bianchetti MG. Cardiac work up in primary renal hypokalemia-hypomag-nesemia (Gitelman Syndrome). Nephrol Dial Transplant 2004; 19: 1398-402.
12. Cogan MG. Normal Potassium Homeostasis. En: Cogan MG. Fluid & Electrolytes. 1991. Ed. Appleton & Lange. Conneticut. pp. 132.
13. Battle DC. Hyperkalemic hyperchloremic metabolic acidosis associated with selective aldosterone deficiency and distal renal tubular acidosis. Semin Nephrol 1981; 1: 260-74.
14. Gennari FJ, Segal AS. Hyperkalemia: An adaptive response in chronic renal insufficiency. Kidney Int 2002; 62: 1-9.
15. Hayslett JP, Binder HJ. Mechanism of potassium adaptation. Am J Physiol 1982; 243: F 103-12.
16. De Wardener H. Idiopathic edema: Role of diuretic abuse. Kidney Int 1981; 19: 881-92.
17. Horrobin DF, Lloyd IJ, Lipton A, Burstyn Pg, Durkin N, Muiruri Kl. Actions of prolactin on human renal function. Lancet. 1971; 2: 352-4.
18. Kalambokis GN, Tsatsoulis AA, Tsianos EV. The edematogenic properties of insulin. Am J Kidney Dis 2004; 44: 575-90.
19. Mc Gregor Ga, Markandu Nd, Roulston Je, Jones Jc, De Wardener He. Is "idiopathic" o edema, idiopathic? Lancet 1979; i: 397-400.