title: [Complete atrioventricular block due to hyperkalemia caused by rhabdomyolysis during treatment with statin].
abstract: Complete atrioventricular block can occur, among others, in case of hyperkalemia, that is a life-threatening complication of rhabdomyolysis. Statins constitute the medication group that is especially associated with a possibility of muscle complications. Frequency of statin-associated myalgia is 5-10%, and potentially fatal rhabdomyolysis--0.02-0.09%. We describe a male patient who was admitted due to syncope caused by complete atrioventricular block. Iatrogenic rhabdomyolysis with life-threatening hyperkalemia, that was related to statin, was diagnosed. After application of suitable pharmacotherapy, conduction abnormalities resolved. The patient was discharged in a good condition.
authors.affiliation: I Oddział Kardiologii, GOK, Górnośląskie Centrum Medyczne, Katowice. marekgrabka@interia.pl
authors.forename: Marek
authors.initials: M
authors.lastname: Grabka
authors.forename: Krystian
authors.initials: K
authors.lastname: Wita
authors.forename: Adrianna
authors.initials: A
authors.lastname: Berger-Kucza
authors.forename: Tomasz
authors.initials: T
authors.lastname: Bochenek
authors.forename: Maciej
authors.initials: M
authors.lastname: Turski
authors.forename: Maria
authors.initials: M
authors.lastname: Trusz-Gluza
mesh_terms: D054537:Atrioventricular Block / Q000209:etiology*; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000009:adverse effects*; D006947:Hyperkalemia / Q000150:complications* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000150:complications*; D019821:Simvastatin / Q000009:adverse effects
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D019821:Simvastatin