Key result
Acute severe hypoglycemia and its treatment in a patient with long-standing insulin-dependent diabetes and coronary heart disease was followed by a fatal cardiac arrest.
Case Report (n=1)
Acute severe hypoglycaemia can induce fatal cardiac arrhythmias in diabetic patients with underlying coronary heart disease, highlighting the need for blood glucose measurement during acute cardiac events.
Hypoglycemia may trigger fatal arrest in diabetic CHD patients; hypothesis-generating for glucose monitoring during cardiac events.
A patient is described who had long‐standing insulin‐dependent diabetes with multiple diabetic complications, and also had known coronary heart disease. While receiving treatment for acute severe hypoglycaemia he sustained a cardiac arrest and died. The haemodynamic effects and the risk of inducing cardiac arrhythmia imposed by acute hypoglycaemia is discussed. Measurement of capillary blood glucose is advised in any insulin‐treated diabetic patient presenting with an acute cardiac event.
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Bm et al. (1995) conducted a case report in Insulin-dependent diabetes with coronary heart disease (n=1). Acute severe hypoglycaemia was evaluated on Cardiac arrest and death. Acute severe hypoglycemia and its treatment in a patient with long-standing insulin-dependent diabetes and coronary heart disease was followed by a fatal cardiac arrest.
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