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Hypokalemia Induced Ventricular Arrhythmia In Heart Failure Patient With Complete Revascularization: A Case Report

Heart Science Journal · Vol. 4 No. 4 (2023) · hlm. 31–35

DOI
10.21776/ub.hsj.2023.004.04.7
ISSN
2721-9984, 2721-9976
Terbit
2023-10-01
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BackgroundSudden mortality due to persistent VT or VF accounted for around half of all fatalities in these high-risk individuals. Myocardial ischemia, acute heart failure, electrolyte abnormalities, hypoxia, and drug-related arrhythmogenicity are all risk factors for electrical storms. The most common electrolyte imbalance is hypokalemia.Case illustration:A 54-year-old man was readmitted to ER with palpitations and chest pain. The patient's heart rate was recorded as sinus bradycardia however, shortly the patient developed ventricular tachycardia of approximately 300 beats per minute (bpm) and unstable. Although multiple synchronized cardioversion dosage was administered, the VT reoccurred again. Complete revascularization was demonstrated at his most recent catheterization three months ago. His potassium in the serum was 2.88 mmol/L and corrected with drip KCl. The patient's potassium levels were then normalized stable for the remainder of their hospital stay.ConclusionCareful medication reconciliation is critical for avoiding the potentially fatal cardiovascular effects of severe hypokalemia. Patients with CHF are more likely to have life-threatening hypokalemia and ventricular arrhythmias. The phenotypic expression of ventricular tachycardia in HF results from alterations in neurohormonal signaling, structural remodeling, and electrophysiology.

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
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Rekan penulisOrganisasiArtikel bersama
Setyasih AnjarwaniUniversity of Brawijaya42
Anna Fuji RahimahUniversity of Brawijaya40
Budi SatrijoUniversity of Brawijaya28
Novi KurnianingsihUniversity of Brawijaya28
Cholid Tri TjahjonoUniversity of Brawijaya27
Heny MartiniUniversity of Brawijaya24
Sasmojo WiditoUniversity of Brawijaya21
Djanggan SargowoUniversity of Brawijaya16
Yoga WaranugrahaUniversity of Brawijaya12
Wella KarolinaUniversity of Brawijaya11
Adhika Prastya WikanandaUniversity of Brawijaya8
Tri AstiawatiUniversity of Brawijaya7
Valerinna YogibuanaAfiliasi tidak diketahui7
Putri Annisa KamilaUniversity of Brawijaya6
Hayla Iqda MillisaniUniversity of Brawijaya6
Tria Yudha NugrahaUniversity of Brawijaya5
Danti Utami SetyowatiRSUD Prof. Dr. Saiful Anwar Malang5
Seprian WidasmaraUniversity of Brawijaya5
Nikhen NoverikeUniversity of Brawijaya5
Muhammad Rizki FadlanUniversity of Brawijaya4
Fandy HazzyUniversity of Brawijaya4
Olivia HandayaniUniversity of Brawijaya4
Anna Fuji RahimahAfiliasi tidak diketahui4
Ratna PancasariUniversity of Brawijaya4
Cik KahadiUniversity of Brawijaya4
Fahreza CaesarioUniversity of Brawijaya4
Mokhamad Aswin BaharUniversity of Brawijaya4
Dadang HendrawanUniversity of Brawijaya3
Oktivani Adelathifa RahmaUniversity of Brawijaya3
Puspa LestariUniversity of Brawijaya3
Ayu Asri Devi AdityawatiUniversity of Brawijaya3
Lutfi Hafiz ZunardiUniversity of Brawijaya3
Dea Arie KurniawanUniversity of Brawijaya3
Shalahuddin Suryo BaskoroUniversity of Brawijaya3
Veny KurniawatiUniversity of Brawijaya2
Yoseph Budi UtomoUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Hypokalemia Induced Ventricular Arrhythmia In Heart Failure Patient With Complete Revascularization: A Case Report</dc:title>
	<dc:creator xml:lang="en">Rochmawati, Icmi Dian</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:creator xml:lang="en">Rohman, Mohammad Saifur</dc:creator>
	<dc:creator xml:lang="en">Prasetya, Indra</dc:creator>
	<dc:subject xml:lang="en">Hypokalemia</dc:subject>
	<dc:subject xml:lang="en">Ventricular Arrhythmia</dc:subject>
	<dc:subject xml:lang="en">Heart Failure</dc:subject>
	<dc:description xml:lang="en">BackgroundSudden mortality due to persistent VT or VF accounted for around half of all fatalities in these high-risk individuals. Myocardial ischemia, acute heart failure, electrolyte abnormalities, hypoxia, and drug-related arrhythmogenicity are all risk factors for electrical storms. The most common electrolyte imbalance is hypokalemia.Case illustration:A 54-year-old man was readmitted to ER with palpitations and chest pain. The patient's heart rate was recorded as sinus bradycardia however, shortly the patient developed ventricular tachycardia of approximately 300 beats per minute (bpm) and unstable. Although multiple synchronized cardioversion dosage was administered, the VT reoccurred again. Complete revascularization was demonstrated at his most recent catheterization three months ago. His potassium in the serum was 2.88 mmol/L and corrected with drip KCl. The patient's potassium levels were then normalized stable for the remainder of their hospital stay.ConclusionCareful medication reconciliation is critical for avoiding the potentially fatal cardiovascular effects of severe hypokalemia. Patients with CHF are more likely to have life-threatening hypokalemia and ventricular arrhythmias. The phenotypic expression of ventricular tachycardia in HF results from alterations in neurohormonal signaling, structural remodeling, and electrophysiology.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-10-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/13670</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.04.7</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 4 (2023): The Science and Art of Caring for Critically III Patients in Intensive Cardiac Care Unit ICCU; 31-35</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/13670/378</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Icmi Dian Rochmawati, Ardian Rizal, Mohammad Saifur Rohman, Indra Prasetya</dc:rights>
</oai_dc:dc>