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Korean J Med > Volume 87(2); 2014 > Article
The Korean Journal of Medicine 2014;87(2): 205-208.
심부전 환자에서 발생한 반복적인 자발성 저혈당과 의식저하 1예
김계환, 김완철, 이은주, 고진신, 박정랑, 함종렬, 황진용
경상대학교 의학전문대학원 경상대학교병원 내과
A Case of Recurrent Spontaneous Hypoglycemia in a 73-year-old Woman with Congestive Heart Failure
Kyehwan Kim, Wan Chul Kim, Eun-ju Lee, Jin-Sin Koh, Jeong Rang Park, Jong Ryeal Hahm, Jin-Yong Hwang
Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
Corresponding Author: Jeong Rang Park ,Tel: +82-55-750-8068, Fax: +82-55-755-9078, Email: parkjrang@gmail.com
Received: July 7, 2013;   Revised: July 25, 2013;   Accepted: September 9, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Hypoglycemia in adults without diabetes can be caused by drugs, critical illness, hormone deficiency, and hyperinsulinism. Spontaneous hypoglycemia in congestive heart failure has been reported rarely in adults. We report a case of spontaneous hypoglycemia in congestive heart failure in a 73-year-old woman with mitral stenosis and atrial fibrillation who had been receiving treatment for 6 years. She had two episodes of low serum glucose with unconsciousness, but there was no evidence of diabetes. Heart failure with concomitant hepatic dysfunction was presumed to have caused the hypoglycemia. She underwent mitral valve replacement after being diagnosed with severe mitral stenosis. There was no episode of hypoglycemia during follow-up.
Keywords: Hypoglycemia; Heart failure
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