RT Journal Article
SR Electronic
T1 Beer, hyponatraemia and cardiac conduction defects
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2018-224260
DO 10.1136/bcr-2018-224260
VO 2018
A1 Simon Mifsud
A1 Emma Louise Schembri
A1 Matthew Mercieca Balbi
A1 Mark Gruppetta
A1 James Clark
YR 2018
UL http://casereports.bmj.com/content/2018/bcr-2018-224260.abstract
AB The authors report a case of a 68-year-old man who was diagnosed with an irreversible second-degree atrioventricular (AV) Mobitz II 2:1 block temporally associated with profound hyponatraemia. The cause of the hyponatraemia was beer potomania. The co-occurrence of reversible first, second and third-degree heart blocks and hyponatraemia has been described in a few published case reports. However, this case is noteworthy as the AV block persisted, despite correction of serum sodium concentration as opposed to other published cases, which meant that the patient required a permanent pacemaker.