Interní Med. 2006; 8(10): 439-442

Delirium and arrHythmias

MUDr. Marie Berková Ph.D1, MUDr. Zdeněk Berka2
1 I. interní klinika FN a LF UP Olomouc
2 II. interní klinika FN a LF UP Olomouc

Delirium is a serious functional central nervous system (CNS) disorder of an unspecific etiology. Factors precipitating the functional disorder of CNS can arise arrhythmias. On the other hand arrhythmias can influence the haemodynamic status of the patient and take part in the genesis of delirium, especially in old persons. Delirium can develop as a secondary unwelcome effect of the antiarrhythmic treatment. On the other hand some psychopharmacologic drugs used in the therapy of delirium can cause serious arrhythmias. Delirium is an independent predictor of patient’s mortality in intensive care unit.

Keywords: Key words: delirium, arrhythmia.

Published: February 1, 2007  Show citation

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Berková M, Berka Z. Delirium and arrHythmias. Interní Med. 2006;8(10):439-442.
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    References

    1. Aakerlund LP, Rosenberg J. Postoperative delirium: treatment with supplementary oxygen. Br J Anaesth 1994,72: 286-290. Go to original source... Go to PubMed...
    2. Beaumont PJV, Large M. Hypophosphatemia, delirium and cardiac arrhythmia in anorexia nervosa. Med J Aust 1991,155: 519-22. (Internet) Go to original source... Go to PubMed...
    3. Beers MH, Jones TV, Berkmits M. Delirium. Kap. 39. In: The Merck Manual of Geriatrics, Merck, 2006.
    4. Bednář B. a kol.: Hypertrofie srdce, Patologie 2. vydání, Avicenum, Praha 1975, 284-286.
    5. Brady KT, Lydiard RB, Malcolm R, Ballenger JC. Cocaine induced psychosis. J Clin Psychiatry 1991, 52, 509-12. Go to original source...
    6. Brown TM. Basic mechanisms in the pathophysiology of delirium. In: Stoudemire A, Vogel BS, Greenberg DB, eds. Psychiatric care of medical patient. 2nd ed. New York: Oxford University Press, 2000, 571-580.
    7. Colodgie FD, Farb A, Virmany R. Pathobiological determinants of cocaine associated cardiovascular syndromes. Human Pathol 1995,26: 583-6. Go to original source... Go to PubMed...
    8. Cushman P Jr. Delirium tremens. Update on an old disorder. Postgrad Med 1987, 82 (5): 117-22. Go to original source... Go to PubMed...
    9. Ely EW, Shintani A, Truman B, Spiroff T, Gordon SM, Harrell FE Jr, Inouye SK, Bernard GR, Dittus RS. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004, 14, 292 (2): 168-9. Go to original source... Go to PubMed...
    10. Farnham FR, Kennedy HG. Acute excited states and sudden death. BMJ, 1997, 315: 1107-1108. Go to original source... Go to PubMed...
    11. Flores D, Lange RA, Cigarroa RG, Hillis LD. Effect of cocaine on coronary artery dimensions in atherosclerotic coronary artery disease: enhanced vasoconstriction at sites of significant stenosis. J Am Coll Cardiol 1990,16: 74-9. Go to original source... Go to PubMed...
    12. Francis J, Martin D, Kapoor WN. A prospective study of delirium in hospitalized elderly JAMA. 1990, 263: 1097-1101. Go to original source...
    13. Heesch CM, Eilhelm CR, Ristich J. Cocaine activates platelets and increases the formation of circulating platelet containing microaggregates in humans. Heart 2000, 83: 688-695. Go to original source... Go to PubMed...
    14. Chung F. Postoperative delirium in elderly. Syllabus on geriatric anesthesiology. American society of anesthesiology, 2005, 11 (Medline).
    15. Inouye SK, Viscoli CM, Horwitz RI, Hurst LD, Tinetti ME. A predictive model for delirium in hospitalized elderly medical patients based on admission characterics. Ann.Intern.Med. 1993,119: 474-481. Go to original source... Go to PubMed...
    16. Isner JM, Estes NAM, Thompson PD, Constanzo-Nordin MR, Subramanian R, Miller G, Katsas G, Sweeney K, Sturner WQ. Acute cardiac events temporally relate to cocaine use. N Engl J Med 1986, 315: 1438-43. Go to original source... Go to PubMed...
    17. Jackson T, Ditmanson L, Phibbs B. Torsades de pointes and low-dose oral haloperidol. Arch Intern Med 1997,157: 2013-5. Go to original source...
    18. Kehlet H, Rosenberg J. Late post-operative hypoxaemia and organ dysfunction. Eur J Anaest -Suppl. 1995, 10: 31-4.
    19. Keller S, Frishman WH, Epstein J. Neuropsychiatric manifestations of cardiovascular drug therapy. Heart Disease. 1999, 1, (4): 241-54. Go to PubMed...
    20. Kobayashi T, Hamano K, Mikamo A, Okada H, Gohra, Miyamoto M, Oda T, Esato K. Perioperative features of coronary artery bypass grafting in patients aged 75 years or older. Jap J Th Cardiovasc Surg 2002, 50 (4): 152-7. Go to original source... Go to PubMed...
    21. Kogoj A. Suspected propranolol-induced delirium. Can J Psych 2004, 9, 1-4 Internet. Go to original source... Go to PubMed...
    22. Kohn MR, Golden NH, Shenker IR. Cardiac arrest and delirium: presentations of refeeding syndrome in severely malnourished adolescents with anorexia nervosa. J Adolesc Health 1998, 22 (3): 239-43. Go to original source... Go to PubMed...
    23. Kol. autorů: Managing Delirium: APA practice guidelines. Women´s health in primary care 2000, 3, 3: 215-221.
    24. Kraemer KL, Mayo-Smith MF, Calkins DR. Impact of age on the severity, course, and complications of alcohol withdrawal. Arch Intern Med, 1997,157: 2234-2241. Go to original source...
    25. Kršiak M, Fišerová M, Starec M, Patočková J, Tůmová E, Kroftová O, Hanychová L, Votava M. Typické nežádoucí účinky základních léčiv. Remedia, 1998, 8, (3), 159-169.
    26. Kuhr BM. Prolonged delirium with propranolol. J Clin Psychiatry 1979, 40: 198-9.
    27. Lange RA, Cigarroa RG, Yancy CW. Cocaine-induced coronary artery vasoconstriction. N Engl J Med 1989, 321: 1557-62. Go to original source... Go to PubMed...
    28. Lange RA, Hillis LD. Cardiovascular complications of cocaine use. N Engl J Med 2001, 345: 351-357. Go to original source... Go to PubMed...
    29. Laposata EA. Cocaine-induced heart disease: mechanisms and pathology. J Thorac Imaging 1991, 6: 68-75. Go to original source... Go to PubMed...
    30. Lohr RH. Treatment of alcohol withdrawal in hospitalized patients. Mayo Clin Proc 1995, 70: 777-782. Go to original source... Go to PubMed...
    31. Mast RC, Fekkes D. Serotonin and amino acids: partners in delirium pathophysiology? Clin Neuropsychiatr 2000;5: 125-31.
    32. Mirchandani HG, Rorke LB, Sekula-Perlman A, Hood IC. Cocaine-induced agitated delirium, forceful struggle, and minor head injury. Am J Forensic Med Pathol, 1994, 15: 2, 95-99. Go to original source... Go to PubMed...
    33. Mouhaffel AH, Madu EC, Satmary WA, Fraker T. Cardiovascular complications of cocaine. Chest 1995, 107: 1426-1434. Go to original source... Go to PubMed...
    34. O´Brien JM, Rockwood RP, Suh KI. Haloperidol-induced torsade de pointes. Ann Pharmacother 1999, 33: 1046-50. Go to original source... Go to PubMed...
    35. Perrault LP, Denault AZ, Carrier M, Cartier R, Bélisle S. Torsades de pointes secondary to intravenous haloperidol after coronary bypass grafting surgery. Can J Anesth 2000, 47: 51-254. Go to original source... Go to PubMed...
    36. Romach MK, Sellers EM. Management of the alcohol withdrawal syndrome. Ann Rev Med 1991, 42: 323-40. Go to original source... Go to PubMed...
    37. Rosenberg J. Hypoxaemia in the general surgical ward- a potential risk factor? Eur J Surg 1994, 160: 657-661. Go to PubMed...
    38. Saiz-Ruiz J, Moral L. Delirium induced by association of propranolol and maprotiline. Psychopharmacol 1988, 8 (1): 77-8. Go to original source... Go to PubMed...
    39. Švihovec J. et al.: Pharmindex Kompendium. Medi Media information, Český Těšín, 1998, 710-12.
    40. Trzepacz PT. Is there a final common neural pathway in delirium? Focus on acetylcholine and dopamine. Sem Clin Neuropsychiatry 2000; 5: 132-48.
    41. Turek T. Delirium v péči akutního gerontopsychiatrického oddělení. Praktický lékař 2005, 85, 7.
    42. Turner RC, Lichstein PR, Peden JG Jr, Busher JT, Waivers LE. Alcohol withdrawal syndromes: a review of clinical pathophysiology, clinical presentation and treatment. J Gen. Intern Med 1989, 4: 432-44. Go to original source... Go to PubMed...
    43. Vitullo JC, Karam R, Mekhail N, Wicker P, Englemann GL, Khairallah PA. Cocaine induced small vessel spasm in isolated rat hearts. Am J Pathol 1989, 135: 85-91.
    44. Wetterling T, Driessen M, Kanitz RD, Junghanns K. The severity of alcohol withrawal is not age related. Oxford Journals Medicine: Alcohol and alcoholism. 2001, 36, 75-78. Go to original source... Go to PubMed...
    45. Wojnar M, Bizon Z, Wasiliewski D. Assessment of the role of kindling in the pathogenesis of alcohol withdrawal seizures and delirium. Oxford Journals. Medicine: Alcohol and alcoholism. Clinical and experimental research, 1999, 23, 204-208. Go to original source... Go to PubMed...
    46. Wojnar M, Bizon Z, Wasiliewski D. The role of somatic disorders and physical injury in the development and course of alcohol withdrawal delirium. Oxford Journals. Medicine: Alcohol and Alcoholism. Clinical and experimental research, 1999, 23, 209-213. Go to original source... Go to PubMed...
    47. Wolf KM, Shaughnessy AF, Middleton DB. Prolonged delirium tremens requiring massive doses of medication. J Am Bord Fam Pract 1993, 6: 502-4.
    48. Yost DA. Alcohol withdrawal syndrome-includes patient information sheet. Am Fam Phys, 1996, 8, 1-6.

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