Diltiazem-induced transient complete atrioventricular block in an elderly patient with acute on chronic renal failure

Jorge A. Brenes, Yong Mei Cha

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Diltiazem is a calcium channel blocker commonly used in the treatment of various cardiovascular disorders such as hypertension, angina and supraventricular tachycardias. Metabolism occurs mainly in the liver, but a small percentage of unchanged drug and metabolites are excreted in the urine. Toxicity from this medication usually presents in the form of dysrrhytmias and heart block. Hence, we present a case of complete atrioventricular AV block in a patient receiving sustained- release diltiazem on a chronic basis. Risk factors such as advanced age and impaired renal function are discussed.

Original languageEnglish (US)
Pages (from-to)23-27
Number of pages5
JournalOpen Cardiovascular Medicine Journal
Volume7
Issue number1
DOIs
StatePublished - 2013

Keywords

  • AV block
  • Diltiazem
  • Renal failure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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