• Kardiol Pol · Dec 2010

    Case Reports

    [Complete atrioventricular block due to hyperkalemia caused by rhabdomyolysis during treatment with statin].

    • Marek Grabka, Krystian Wita, Adrianna Berger-Kucza, Tomasz Bochenek, Maciej Turski, and Maria Trusz-Gluza.
    • I Oddział Kardiologii, GOK, Górnośląskie Centrum Medyczne, Katowice. marekgrabka@interia.pl
    • Kardiol Pol. 2010 Dec 1; 68 (12): 1376-8; discussion 1379.

    AbstractComplete atrioventricular block can occur, among others, in case of hyperkalemia, that is a life-threatening complication of rhabdomyolysis. Statins constitute the medication group that is especially associated with a possibility of muscle complications. Frequency of statin-associated myalgia is 5-10%, and potentially fatal rhabdomyolysis--0.02-0.09%. We describe a male patient who was admitted due to syncope caused by complete atrioventricular block. Iatrogenic rhabdomyolysis with life-threatening hyperkalemia, that was related to statin, was diagnosed. After application of suitable pharmacotherapy, conduction abnormalities resolved. The patient was discharged in a good condition.

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