0
ARTICLE |

Severe Bradycardia With Clonidine

Linda Van Etta, MD; Howard Burchell, MD
JAMA. 1978;240(19):2047. doi:10.1001/jama.1978.03290190025020.
Text Size: A A A
Published online

To the Editor.—  While the Wenckebach phenomenon and moderate sinus bradycardia from clonidine had been reported in 1971 by Yeh et al,1 only recently were two cases of atrioventricular block recorded by Kilber and Gazes (238:1930, 1977) and two cases of symptomatic sinus bradycardia recorded by Scherman et al.2 Another case of severe symptomatic sinus bradycardia occurred in our hospital recently.

Report of a Case.—  A 57-year-old diabetic hypertensive man was admitted to Northwestern Hospital in Minneapolis for treatment of pneumonia. Because of severe hypokalemia when treated with thiazide diuretics, he had been taking only clonidine hydrochloride, 0.3 mg twice a day, for the previous six months. Blood pressure readings during the first few days of hospitalization ranged from 140/80 mm Hg to 187/110 mm Hg. His pulse rate ranged from 52 to 82 beats per minute. Clonidine dosage was increased to 0.4 mg twice a day. Over the

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();