Diltiazem-induced Transient Complete Atrioventricular Block in an Elderly Patient with Acute on Chronic Renal Failure

Brenes, Jorge A; Cha, Yong-Mei

Diltiazem-induced Transient Complete Atrioventricular Block in an Elderly Patient with Acute on Chronic Renal Failure

Jorge A Brenes^*, Yong-Mei Cha

Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA

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Identifiers and Pagination:

Year: 2013
Volume: 7
First Page: 23
Last Page: 26
Publisher ID: TOCMJ-7-23
DOI: 10.2174/1874192401307010023

Article History:

Received Date: 12/12/2012
Revision Received Date: 2/3/2013
Acceptance Date: 2/3/2013
Electronic publication date: 29 /3/2013
Collection year: 2013

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© Brenes and Cha; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

^* Address correspondence to this author at the Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester MN, USA; Tel: 507-261-4644; Fax: 888-664-1253; E-mail: brenessalazar.jorge@mayo.edu

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 dis-cussed.

Keywords: diltiazem, AV block, renal failure..

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RESEARCH ARTICLE

Diltiazem-induced Transient Complete Atrioventricular Block in an Elderly Patient with Acute on Chronic Renal Failure

Article Information

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Abstract

Track Your Manuscript

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About the Editor

About the Journal

The Open Cardiovascular Medicine Journal

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Unique Views/Downloads: 87,641

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