Ventricular fibrillation due to hypokalemia as a consequence of thallium scintigraphy: A case report [Talyum si·nti·grafi·si· sonrasi hi·pokalemi·ye bagli ventri·küler fi·bri·lasyon geli·şen bi·r olgu]
Küçük Resim Yok
Tarih
2013
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
A 44 year old man who had kidney transplantation was hospitalized to orthopedia clinic for total hip prosthesis due to his coxarthrosis. In his preoperative evaluation, he had diarrhea for three days, and he had a chest pain that lasted less than 20 minutes which was not related with effort. According to cardiology consultation the patient was applied myocard perfussion scintigraphy with thallium. After the scintigraphy, a sudden cardiac arrest occured. He was monitorized after having orotracheal intubation. Since he was in ventricular fibrillation, he was defibrillated. According to the ERC criteria cardiac compressions were continued. Because of resistant ventricular fibrillation and hypokalemia at the 15th minute of cardiac resusitation, 20 mmol l-1 KCl and 12 mmol l-1 magnesium were administered within five minutes. After these applications sinus rythm was achieved and the patient was transfered to the cardiology service and he was followed up there. Hypokalemia exists in the electrolyte imbalances that cause ventricular dysrhythmias. Occurance of hypokalemia in patients with diarrhea and gastrointestinal disorders should be kept in mind during the anesthetic evaluation. In addition, hypokalemia can become deeper as a consequence of thallium scintigraphy that can result with resistant ventricular dysrhythmias.
Açıklama
Anahtar Kelimeler
Hypokalemia, Scintigraphy, Thallium, Ventricular fibrillation
Kaynak
Anestezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
21
Sayı
4
