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http://scihub22266oqcxt.onion/ 8266190!ä!8266190 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Singapore+Med+J 1993 ; 34 (3): 266-70 Nephropedia Template TP {{tp|p=8266190|t=1993. Torsade de pointes and sudden death associated with diabetic autonomic diarrhoea--a case report |pdf=|usr=}}{{8266190}} gab.com Text Torsade de pointes and sudden death associated with diabetic autonomic diarrhoea--a case report JO: Singapore Med J http://www.kidney.de/pget.php?&tw=1&pmid=8266190 #FOAvip A 68-year-old diabetic and hypertensive woman presented with chronic autonomic diarrhoea, syncope and palpitations which were associated with QT prolongation and recurrent episodes of torsade de pointes. She was on glibenclamide, indapamide and probucol (for type V hyperlipidaemia). Despite intravenous infusions of potassium, lignocaine and amiodarone, the unstable rhythm persisted. However, intravenous magnesium sulphate with small doses of intravenous propranolol terminated the torsade de pointes. She was stabilised but following discharge she relapsed, and upon re-admission, succumbed to intractable ventricular fibrillation. Early recognition and aggressive treatment of this condition is emphasised. Multiple aggravating factors ie autonomic diarrhoea resulting in severe potassium and magnesium depletion, kaliuretic effect of indapamide, probable QT prolongation associated with diabetic autonomic neuropathy and probucol; probable underlying coronary artery disease and heightened emotional and sympathetic discharge could have contributed to this very unstable ventricular arrhythmia and sudden death. Twit Text FOAVip Torsade de pointes and sudden death associated with diabetic autonomic diarrhoea--a case report ????Singapore Med J http://www.kidney.de/pget.php?&tw=1&pmid=8266190 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=8266190 #FOAvip English Wikipedia <ref>{{Cite pmid|8266190}}</ref> Torsade de pointes and sudden death associated with diabetic autonomic diarrhoea--a case report #MMPMID8266190 Quek DK; H'ng PK Singapore Med J 1993[Jun]; 34 (3): 266-70 PMID8266190show ga A 68-year-old diabetic and hypertensive woman presented with chronic autonomic diarrhoea, syncope and palpitations which were associated with QT prolongation and recurrent episodes of torsade de pointes. She was on glibenclamide, indapamide and probucol (for type V hyperlipidaemia). Despite intravenous infusions of potassium, lignocaine and amiodarone, the unstable rhythm persisted. However, intravenous magnesium sulphate with small doses of intravenous propranolol terminated the torsade de pointes. She was stabilised but following discharge she relapsed, and upon re-admission, succumbed to intractable ventricular fibrillation. Early recognition and aggressive treatment of this condition is emphasised. Multiple aggravating factors ie autonomic diarrhoea resulting in severe potassium and magnesium depletion, kaliuretic effect of indapamide, probable QT prolongation associated with diabetic autonomic neuropathy and probucol; probable underlying coronary artery disease and heightened emotional and sympathetic discharge could have contributed to this very unstable ventricular arrhythmia and sudden death. |*Death, Sudden[MESH] |Aged[MESH] |Autonomic Nervous System Diseases/*complications[MESH] |Diabetic Neuropathies/*complications[MESH] |Diarrhea/*complications[MESH] |Electrocardiography[MESH] |Female[MESH] |Humans[MESH] |Hypokalemia/complications[MESH] |Recurrence[MESH] |Tachycardia, Ventricular/complications[MESH] |Torsades de Pointes/*complications[MESH]Torsade de pointes and sudden death associated with diabetic autonomic(epmc).pdf DeepDyve Pubget Overpricing