A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias
Severe hyponatraemia is defined as a sodium level of less than 120 mEq/L, and it is frequently accompanied by neurological symptoms like coma, convulsions, respiratory arrest, and death. Clinical cardiac toxicity from hyponatremia, such as bradyarrhythmia, is extremely rare. In this article, we pres...
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2024
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my.upm.eprints.1061922024-05-24T01:41:27Z http://psasir.upm.edu.my/id/eprint/106192/ A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias Md Pauzi, Ahmad Luqman Mohamad Amin, Norhayati Sazali, Adi Putera Hashim, Juliana Abdullah, Muhammad Afif Ismail, Iskasymar Wan Zukiman, Wan Zulhaikal Severe hyponatraemia is defined as a sodium level of less than 120 mEq/L, and it is frequently accompanied by neurological symptoms like coma, convulsions, respiratory arrest, and death. Clinical cardiac toxicity from hyponatremia, such as bradyarrhythmia, is extremely rare. In this article, we present a case of acute severe hyponatraemia that induced unstable bradyarrhythmia and led to refractory bradycardia, which did not improve despite receiving treatment in accordance with the standard Advanced Cardiovascular Life Support protocol. The patient’s bradyarrhythmia has completely resolved with the administration of 3 hypertonic saline, which restored her sodium levels. Due to the possibility that severe hyponatremia may contribute to the aetiology of cardiac malfunction, this case raises awareness about the significance of closely monitoring electrocardiograms and telemetry in patients with severe hyponatremia. Universiti Putra Malaysia Press 2024 Article PeerReviewed Md Pauzi, Ahmad Luqman and Mohamad Amin, Norhayati and Sazali, Adi Putera and Hashim, Juliana and Abdullah, Muhammad Afif and Ismail, Iskasymar and Wan Zukiman, Wan Zulhaikal (2024) A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias. Malaysian Journal of Medicine and Health Sciences, 20 (1). pp. 395-397. ISSN 2636-9346 https://medic.upm.edu.my/upload/dokumen/2024012412133250_MJMHS_0704.pdf 10.47836/mjmhs.20.1.51 |
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Severe hyponatraemia is defined as a sodium level of less than 120 mEq/L, and it is frequently accompanied by neurological symptoms like coma, convulsions, respiratory arrest, and death. Clinical cardiac toxicity from hyponatremia, such as bradyarrhythmia, is extremely rare. In this article, we present a case of acute severe hyponatraemia that induced unstable bradyarrhythmia and led to refractory bradycardia, which did not improve despite receiving treatment in accordance with the standard Advanced Cardiovascular Life Support protocol. The patient’s bradyarrhythmia has completely resolved with the administration of 3 hypertonic saline, which restored her sodium levels. Due to the possibility that severe hyponatremia may contribute to the aetiology of cardiac malfunction, this case raises awareness about the significance of closely monitoring electrocardiograms and telemetry in patients with severe hyponatremia. |
| format |
Article |
| author |
Md Pauzi, Ahmad Luqman Mohamad Amin, Norhayati Sazali, Adi Putera Hashim, Juliana Abdullah, Muhammad Afif Ismail, Iskasymar Wan Zukiman, Wan Zulhaikal |
| spellingShingle |
Md Pauzi, Ahmad Luqman Mohamad Amin, Norhayati Sazali, Adi Putera Hashim, Juliana Abdullah, Muhammad Afif Ismail, Iskasymar Wan Zukiman, Wan Zulhaikal A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias |
| author_facet |
Md Pauzi, Ahmad Luqman Mohamad Amin, Norhayati Sazali, Adi Putera Hashim, Juliana Abdullah, Muhammad Afif Ismail, Iskasymar Wan Zukiman, Wan Zulhaikal |
| author_sort |
Md Pauzi, Ahmad Luqman |
| title |
A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias |
| title_short |
A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias |
| title_full |
A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias |
| title_fullStr |
A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias |
| title_full_unstemmed |
A rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias |
| title_sort |
rare presentation of a common disorder: severe hyponatremia presenting as reversible unstable bradyarrythmias |
| publisher |
Universiti Putra Malaysia Press |
| publishDate |
2024 |
| url |
http://psasir.upm.edu.my/id/eprint/106192/ https://medic.upm.edu.my/upload/dokumen/2024012412133250_MJMHS_0704.pdf |
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1800093846680371200 |
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13.211869 |