title: Hypokalemia with syncope caused by habitual drinking of oolong tea.
abstract: A 61-year-old woman developed hypokalemia, atrioventricular block and ventricular tachycardia with syncope after habitual drinking 2 to 3 liters of oolong tea per day. She had been suffering from rheumatoid arthritis and Sjögren's syndrome and her serum albumin was decreased (2.9 g/dl). Oolong tea contains caffeine at approximately 20 mg/dl. Great quantities of caffeine can induce hypokalemia. The serum protein binding caffeine is albumin. Accordingly, in patients with hypoalbuminemia, caffeine is apt to induce hypokalemia. This case suggested that great quantities of oolong tea, one of the so-called "healthy" drinks, result in serious symptoms for patients with hypoalbuminemia.
authors.affiliation: Department of Internal Medicine and Cardiology, Kitasato University School of Medicine, Sagamihara.
authors.forename: T
authors.initials: T
authors.lastname: Aizaki
authors.forename: M
authors.initials: M
authors.lastname: Osaka
authors.forename: H
authors.initials: H
authors.lastname: Hara
authors.forename: S
authors.initials: S
authors.lastname: Kurokawa
authors.forename: K
authors.initials: K
authors.lastname: Matsuyama
authors.forename: N
authors.initials: N
authors.lastname: Aoyama
authors.forename: K
authors.initials: K
authors.lastname: Soma
authors.forename: T
authors.initials: T
authors.lastname: Ohwada
authors.forename: T
authors.initials: T
authors.lastname: Izumi
mesh_terms: D001665:Binding Sites; D002110:Caffeine / Q000009:adverse effects* / Q000378:metabolism; D004562:Electrocardiography; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006327:Heart Block / Q000097:blood / Q000139:chemically induced / Q000503:physiopathology; D006339:Heart Rate; D006801:Humans; D007008:Hypokalemia / Q000097:blood / Q000139:chemically induced*; D008875:Middle Aged; D012709:Serum Albumin / Q000187:drug effects / Q000378:metabolism; D013575:Syncope / Q000097:blood / Q000139:chemically induced* / Q000503:physiopathology; D017180:Tachycardia, Ventricular / Q000097:blood / Q000139:chemically induced / Q000503:physiopathology; D013662:Tea / Q000009:adverse effects* / Q000737:chemistry
chemical_list: D012709:Serum Albumin; D013662:Tea; D002110:Caffeine