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Case report: Acute type a hepatitis presenting with hypotension, bradycardia, and sinus arrest

✍ Scribed by Stuart C. Gordon; Atulkumar S. Patel; Robert J. Veneri; Kristin A. Keskey; Steven M. Korotkin

Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
822 KB
Volume
28
Category
Article
ISSN
0146-6615

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✦ Synopsis

The cardiovascular complications of viral hepatitis are not widely recognized. Profound hypotension and a variety of dysrhythmias, including sinus arrest, have been reported in association with viral hepatitis, but most of these cases were described before the advent of specific viral serologic markers. Furthermore, previous instances of cardiovascular complications occurred during the course of an established viral syndrome. We report the cases of two previously healthy women who presented with unexplained hypotension and bradycardia as the initial manifestations of acute icteric hepatitis A. This phenomenon appears to represent a variant clinical presentation of a common viral entity.

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