老年学と老年医学の研究

概要

Persistent Hypoglycemia Revealing Severe Heart Failure

Raouf Hajji *, Mouna Elleuch, Fatma Derbali, Naourez Kammoun and Saida Zribi

Hypoglycemia is frequently overlooked as an explanation for convulsions, coma or symptoms such as palpitations, sweating or bizarre behavior. Its association with congestive cardiac failure has been rarely reported but scant attention has been paid to the subject [1]. We report an observation of an 87-year old man who was admitted in hospital with coma. He has peripheral cyanosis, with heart rate 100 beats/min and blood pressure 110/80. Biological investigations included calcium 2.3 mmol/l, creatinine 127 mmol/l, aspartate transaminase 52 U/l, gamma glutamyl transaminase 20 U/l and blood glucose was 1.6 mmol/l.