Hypoglycaemia commonly manifests as increased sympathetic discharge or as neuroglycopaenia in the awake patient. This case may represent an example of the effect of hypoglycaemia on the heart giving rise to ventricular tachycardia, which promptly resolved at the time of correction of hypoglycaemia.
MaddockR.K., KrallL.P.Insulin reactions. Manifestations and need for a recognition of long acting insulin reactions.Arch Intern Med1953; 91: 695–703.
2.
GoldmanD.The electrocardiogram in insulin shock.Arch Intern Med1940; 66: 93–108.
3.
BertrandC.A., SteinerN.V., JamesonA.G.. Disturbance of cardiac rhythm during anesthesia and surgery.JAMA1971; 216: 615–617.
4.
VanikP.E., DavisH.S.Cardiac arrhythmias during halothane anesthesia.Anesth Analg1968; 47: 299–307.
5.
EbertT.J., MuziM.Sympathetic hyperactivity during desflurane anesthesia in healthy volunteers.Anesthesiology1993; 79: 444–453.
6.
WhiteS.E., FrisonL.M., BrownS.E.Hypoglycemia associated with supraventricular tachycardia in an infant.Anesthesiology1988; 69: 944–945.
7.
CollierA., MatthewsD.M., YoungR.J., ClarkeB.F.Transient atrial fibrillation precipitated by hypoglycaemia: two case reports.Postgrad Med J1987; 63: 895–897.
PezzilliR., BroccoliP., BilliP., BarakatB.Silent myocardial ischaemia induced by hypoglycaemia.Panminerva Medicine December1998; 40: 347–349.
10.
MarquesJ.L., GeorgeE., Peacey. Altered ventricular repo-larisation during hypoglycaemia in patients with diabetes.Diabetic Medicine1997; 14: 648–654.
11.
Landstedt-HallinL., EnglundA., AdamsonU., LinsP.E.Increased QT dispersion during hypoglycaemia in patients with type 2 diabetes mellitus.J Int Med1999; 246: 299–307.
12.
PollockG., BradyW.J.Jr., HargartenS., De SilveyD., CarnerC.T.Hypoglycemia manifested by sinus bradycardia: A report of three cases.Acad Emerg Med1996; 3: 700–707.
13.
AmielS.A., TamborlaneW.V., SimonsonD.C.. Defective glucose counterregulation after strict glycemic control of insulin-dependent diabetes mellitus.N Engl J Med1987; 316: 1376–1388.
