Dialysis-Reversible Complete Heart Block Without Severe Metabolic Derangements

Division

Gulf Coast

Hospital

HCA Houston Healthcare Kingwood

Document Type

Case Report

Publication Date

5-15-2024

Keywords

acute kidney injury, dialysis, heart block, hyperparathyroidism, hyperphosphatemia, hypocalcemia, permanent pacemaker, transvenous pacemaker

Disciplines

Cardiovascular Diseases | Female Urogenital Diseases and Pregnancy Complications | Internal Medicine | Medicine and Health Sciences

Abstract

We present the case of an elderly female who presented to the emergency department with dizziness. She was found to have an acute chronic kidney injury complicated by a complete heart block (CHB). She received a transvenous pacemaker and was taken for hemodialysis (HD) with complete resolution of her heart block. The following day, she was noted to be symptomatic and bradycardic. A repeat electrocardiogram showed a recurrence of the CHB. She was taken again for HD which led to the resolution of her conduction abnormalities. Electrophysiology was consulted and she had a permanent pacemaker implanted prior to being discharged.

Publisher or Conference

Cureus

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