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


 
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1. Title Title of document The Heart was Hungrier than the Brain: Hypoglycemia-induced Ventricular Tachycardia in a Conscious Diabetic Patient
 
2. Creator Author's name, affiliation, country Navgeet Mathur; MD, Associate Professor, Department of General Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
 
2. Creator Author's name, affiliation, country Medha Mathur; MD, Associate Professor, Department of Community Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
 
2. Creator Author's name, affiliation, country Anjana Verma; MD, Associate Professor, Department of Community Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
 
3. Subject Discipline(s)
 
3. Subject Keyword(s) Hypoglycemia, Sulfonylurea, Ventricular Tachycardia
 
4. Description Abstract 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.
 
5. Publisher Organizing agency, location Australian International Academic Centre PTY. LTD.
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2022-01-31
 
8. Type Status & genre Peer-reviewed Article
 
8. Type Type
 
9. Format File format PDF
 
10. Identifier Uniform Resource Identifier https://journals.aiac.org.au/index.php/ABCMED/article/view/7211
 
10. Identifier Digital Object Identifier (DOI) https://doi.org/10.7575/aiac.abcmed.v.10n.1p.30
 
11. Source Title; vol., no. (year) Advances in Bioscience and Clinical Medicine; Vol 10, No 1 (2022)
 
12. Language English=en
 
13. Relation Supp. Files
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c) 2022 Navgeet Mathur, Medha Mathur, Anjana Verma
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.