alexa Persistent Hypoglycemia Revealing Severe Heart Failure
ISSN: 2167-7182

Journal of Gerontology & Geriatric Research
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Letter to Editor

Persistent Hypoglycemia Revealing Severe Heart Failure

Raouf Hajji1,2*, Mouna Elleuch3, Fatma Derbali1,2, Naourez Kammoun1 and Saida Zribi1

1Department of Internal Medicine, Sidi Bouzid Hospital, Tunisia

2Ibn Aljazzar Medicine Faculty of Sousse, Tunisia

3Department of Endocrinology, Hedi Chaker University Hospital, Tunisia

Corresponding Author:
Raouf Hajji
Department of Internal Medicine
Sidi Bouzid Hospital, Tunisia
Tel: 21676632175
Fax: 21676632175
E-mail: [email protected]

Rec date: Apr 25, 2016; Acc date: May 17, 2016; Pub date: May 19, 2016

Citation: Hajji R, Elleuch M, Derbali F, Kammoun N, et al. (2016) Persistent Hypoglycemia Revealing Severe Heart Failure. J Gerontol Geriatr Res 5:303. doi:10.4172/2167-7182.1000303

Copyright: © 2016 Raouf H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Hypoglycemia is frequently overlooked as an explanation for convulsions, coma or symptoms such as palpitations, sweating or bizarre behavior. Its association with congestive cardiac failure has been rarely reported but scant attention has been paid to the subject [1]. We report an observation of an 87-year old man who was admitted in hospital with coma. He has peripheral cyanosis, with heart rate 100 beats/min and blood pressure 110/80. Biological investigations included calcium 2.3 mmol/l, creatinine 127 mmol/l, aspartate transaminase 52 U/l, gamma glutamyl transaminase 20 U/l and blood glucose was 1.6 mmol/l.

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