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http://dx.doi.org/10.3904/kjm.2014.87.2.205

A Case of Recurrent Spontaneous Hypoglycemia in a 73-year-old Woman with Congestive Heart Failure  

Kim, Kyehwan (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
Kim, Wan Chul (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
Lee, Eun-Ju (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
Koh, Jin-Sin (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
Park, Jeong Rang (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
Hahm, Jong Ryeal (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
Hwang, Jin-Yong (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.87, no.2, 2014 , pp. 205-208 More about this Journal
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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