ARTICLE
TITLE

The Heart was Hungrier than the Brain: Hypoglycemia-induced Ventricular Tachycardia in a Conscious Diabetic Patient

SUMMARY

This case report is about a 58 years old male diabetic patient presented multiple times at outdoor (OPD) for routine follow up of diabetes always in asymptomatic, fully conscious, and oriented condition, and on multiple occasion of his OPD visit, he was found to have ventricle tachycardia (VT) on ECG with concurrent hypoglycemia (blood sugar <60 mg/dl). No antiarrhythmic treatment was needed because ventricle tachycardia subsided immediately after correction of hypoglycemia on each and every time he is having it, thus favoring hypoglycemic etiology of VT. Every time patient was having documented hypoglycemia, his heart always showed concurrent VT but the brain never showed altered consciousness or disorientation. It seems like his heart was more hungry than his brain. After an extensive search, no similar case report was found having only isolated VT at each and every episode of documented hypoglycemia. Glucose is the main fuel for the human brain. Higher mental functions were well tolerant to hypoglycemia but his heart used to respond quickly in form of VT.

 Articles related

Starry H. Rampengan, Budhi Setianto, Jimmy Posangi, Suzanna Immanuel, Judo Prihartono, Minarma Siagian, Harmani Kalim, Sirowanto Inneke, Murdani Abdullah, Sarwono Waspadji    

Background: Chronic heart failure (CHF) is a slowly progressive disease with high morbidity and mortality; therefore, the management using pharmacological treatments frequently fails to improve outcome. Enhanced external counterpulsation (EECP), a non-in... see more


Ariel P. C. Mota, Maria E. R. Silva, Isadora S. Rosa, Jose A. B. L. Sobrinho, Marcos D. Ferreira- Junior, Keilah V. N. Cavalcante, Jaqueline M. Costa, Carlos H. Castro, Paulo Matafome, Rodrigo M. Gomes (Autor)    

The exposure of the fetus/neonate to glycotoxins via the placenta or breast milk, such as themethylglyoxal (MG), has been related to short- and long-term disorders in its development.The aim of this study was to evaluate the effects of early exposure to ... see more

Revista: Arquivos do Mudi

Wiwik Agustini, Ni Putu Veny Kartika Yantie, Eka Gunawijaya, Gusti Lanang Sidiartha, Gusti Ayu Eka Pratiwi (Author)    



Lucia Kris Dinarti,Dyah Wulan Anggrahini,Muhammad Reyhan Hadwiono,Abdul Majid Halim Wiradhika,Vera Dewanto,Anggoro Budi Hartopo    

Most patients with congenital heart disease (CHD) who underwent successful shunts defect repair can be remained asymptomatic for years. It leads to a high number of losses to follow-up after patients discharge. After closure, pulmonary hypertension (PH) ... see more


Saba NOOR,Waseem AKRAM,Touseef AHMED,Qurat-ul-Ain .    

The Outbreak of Coronavirus (COVID-19) came to the world in early December 2019. The early cases of coronavirus were reported in Wuhan City, Hubei Province, China. Till May 18, 2020, 198 countries have been affected by this life-threatening disease. The ... see more