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

Jorge A. Brenes; Yong Mei Cha

doi:10.2174/1874192401307010023

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

Jorge A. Brenes, Yong Mei Cha

Cardiovascular Medicine

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	23-27
Number of pages	5
Journal	Open Cardiovascular Medicine Journal
Volume	7
Issue number	1
DOIs	https://doi.org/10.2174/1874192401307010023
State	Published - 2013

Keywords

AV block
Diltiazem
Renal failure

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.2174/1874192401307010023

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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.",

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AU - Cha, Yong Mei

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AB - 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.

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

Abstract

Keywords

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