Why the study?
Does intravenous dextrose revert atrial fibrillation precipitated by severe hypoglycaemia in insulin-dependent diabetic patients?
Does intravenous dextrose revert atrial fibrillation precipitated by severe hypoglycaemia in insulin-dependent diabetic patients?
Severe hypoglycemia can precipitate transient atrial fibrillation in insulin-dependent diabetic patients, which may revert to sinus rhythm upon glucose administration.
Case suggests dextrose may restore sinus rhythm in hypoglycemia-triggered AF; hypothesis-generating and requires prospective confirmation before any practice change.
We describe two insulin-dependent diabetic females who presented with severe hypoglycaemia associated with atrial fibrillation which reverted to sinus rhythm after intravenous dextrose. Atrial fibrillation has not previously been reported as a complication of hypoglycaemia in insulin-dependent diabetic patients.
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Collier et al. (1987) studied this question.
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