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64 Possible Causes for Cardiac Arrhythmia, Nausea, Persistent Lactic Acidosis

  • Acidosis

    Hyperlactatemia is defined as a persistent, mild to moderate (2-4 mmol/L) increase in blood lactate concentration without metabolic acidosis , whereas lactic acidosis is characterized[emedicine.medscape.com] If you develop severe metabolic acidosis, you will likely experience drowsiness and extreme weakness, as well as increased nausea and confusion, Merck Manuals note.[livestrong.com] In mild cases the symptoms may be overlooked; in severe cases symptoms are more obvious and may include muscle twitching, involuntary movement, cardiac arrhythmias, disorientation[medical-dictionary.thefreedictionary.com]

  • Liver Cirrhosis

    Despite stable hemodynamics, lactic acidosis still persisted, and linezolid therapeutic drug monitoring was ordered.[ncbi.nlm.nih.gov] On the basis of the Edmonton Symptom Assessment System, 65% of patients had evidence of pain, 58% had evidence of nausea, 10% had depression, 36% had anxiety, 48% had dyspnea[ncbi.nlm.nih.gov] It is performed in a vascular catheterisation laboratory with videofluoroscopy equipment and cardiac monitoring because of the risk of cardiac arrhythmia as the catheter passes[dx.doi.org]

  • Cardiogenic Shock

    lactic acidosis, low cardiac output, high doses of catecholamines, kidney and/or liver failure) and of cardiac arrest without “no flow” in patients with advanced chronic[annalsofintensivecare.springeropen.com] The possible complications of lithium overdose include altered mental status, hand tremor, muscle weakness, nausea, vomiting, diarrhea, seizure, syncope, and arrhythmia.[ncbi.nlm.nih.gov] Carditis can complicate Lyme disease in an estimated 5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities[ncbi.nlm.nih.gov]

  • Hypophosphatemia

    On admission the arterial gas analysis showed non lactic metabolic acidosis (pH 7.17; base excess [BE] -20.3; lactic acid 0.8 mMol/L), with hypoxemia and critical hypocapnia[ncbi.nlm.nih.gov] Side effects include diarrhea, which is often dose-limiting, and nausea.[enotes.tripod.com] Association between hypophosphatemia and cardiac arrhythmias in the early stages of sepsis. Eur J Intern Med 2002;13(7):434-48. [ Links ] 14.[scielo.br]

  • Hydrogen Sulfide Poisoning

    ACUTE RENAL FAILURE, LACTIC ACIDOSIS, AND SUDDEN COLLAPSE FOLLOWING HYDROGEN SULFIDE SEWER GAS POISONING 潘恆之, 林杰樑, 顏宗海 硫化氫沼氣中毒導致急性腎衰竭, 乳酸中毒及突發性心肺停止 林口長庚紀念醫院 腎臟系 臨床毒物科 2.[slideshare.net] Headaches, nausea, vomiting, changes in coordination, and even loss of consciousness are frequent manifestations, while pulmonary edema with subsequent hypoxemia and respiratory[symptoma.com] Hydrogen sulfide inhalation is associated with cardiac arrhythmias. Nausea and vomiting are also common.[merckvetmanual.com]

  • Lactic Acidosis

    […] interval: 2.5-20.6; P CONCLUSION: In the absence of risk factors associated with persistent lactic acidosis, such as shock or acute kidney or liver injury, continued peri-operative[ncbi.nlm.nih.gov] Mild physical workload provoked the occurrence of nausea and vomiting repeatedly.[ncbi.nlm.nih.gov] In mild cases the symptoms may be overlooked; in severe cases symptoms are more obvious and may include muscle twitching, involuntary movement, cardiac arrhythmias, disorientation[medical-dictionary.thefreedictionary.com]

  • Hypoglycemia

    Few hours later, she developed a strong food craving, nausea, abdominal pain, and a headache.[ncbi.nlm.nih.gov] Nocturnal hypoglycemia has been associated with cardiac arrhythmias resulting in sudden death[ 73 ].[doi.org] A 66-year-old woman presented to an urgent care clinic for 2 to 3 weeks of general malaise, nausea/vomiting, night sweats, and dyspnea.[ncbi.nlm.nih.gov]

  • MELAS Syndrome

    MELAS syndrome was suspected postoperatively owing to persistent lactic acidosis and neurological symptoms.[ncbi.nlm.nih.gov] […] episodes (MELAS) syndrome is one of the mitochondrial encephalomyopathies that has distinct clinical features including stroke-like episodes with migraine-like headache, nausea[ncbi.nlm.nih.gov] The recently published report, titled “Arrhythmia as a cardiac manifestation in MELAS syndrome” appeared in the journal Molecular Genetics and Metabolism Reports .[mitochondrialdiseasenews.com]

  • Cardiomyopathy

    acidosis, severe lactic acidosis, expansion and hypertrophic cardiomyopathy.[ncbi.nlm.nih.gov] As the heart gets weaker, other symptoms of congestive heart failure may develop, such as difficulty breathing, poor appetite with nausea or vomiting, or edema.[seattlechildrens.org] INTRODUCTION: Noncompaction cardiomyopathy is a rare phenotype of cardiomyopathy associated with severe cardiac arrhythmia and thromboembolic complications.[ncbi.nlm.nih.gov]

  • Sepsis

    However, in patients with persistently elevated lactate without evidence of inadequate oxygen delivery, type B lactic acidosis should be considered.[ncbi.nlm.nih.gov] We report a case of Escherichia coli SICM in a 63-year-old woman presented with sudden onset of dyspnoea on exertion and orthopnoea following nausea, vomiting and diarrhoea[ncbi.nlm.nih.gov] Norepinephrine was associated with lower risk for major adverse events and cardiac arrhythmias compared to dopamine.[doi.org]

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