Bernheim J, Beruard M, Zech P, Cognet J B, Moskovtchenko J F
Ann Anesthesiol Fr. 1975 May-Jun;16(3):197-202.
Auricular asystoly (A.A.) was the electrocardiographic pattern of 6 patients admitted for electrolytic disorders secondary to either renal failure or inadequate treatment. A rapid increase of blood potassium was the unique commun abnormality found to explain the dysrhytmia. Bradycardia (between 25 and 55 beats/mn) was present in each case with or without clinical symptoms. Temporary prophylactic pace maker insertion was performed in 4/7 patients. Recovery appeared after dialysis treatment in 6 cases, medical treatment in one, sinus rhythm being present in 6 and chronic atrial fibrillation in one. Prognosis of A.A. due to hyperkaliemia is good when hydroelectrolytic disorders are rapidly corrected. Follow up of blood electrolytes and electrocardiogram must be regular to prevent reccurencies.
耳性心搏停止（A.A.）是6例因肾衰竭或治疗不当继发电解质紊乱而入院患者的心电图表现。血钾快速升高是唯一能解释心律失常的共同异常情况。每例患者均出现心动过缓（每分钟25至55次心跳），伴有或不伴有临床症状。7例患者中有4例进行了临时预防性起搏器植入。6例患者经透析治疗后康复，1例经药物治疗康复，6例恢复窦性心律，1例为慢性心房颤动。当水电解质紊乱迅速得到纠正时，高钾血症所致耳性心搏停止的预后良好。必须定期监测血液电解质和心电图以预防复发。
