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oa Central African Journal of Medicine - Glucose Insulin potassium (GIK) in treatment of congestive cardiomyopathy

Volume 26, Issue 12
  • ISSN : 0008-9176

 

Abstract

A continuous infusion of 500 ml of 50% glucose containing 100 units of soluble insulin and 100 mmol of potassium chloride per litre was given to 10 patients with congestive cardiomyopathy unresponsive to Digoxin and Frusemide therapy. There was a striking improvement in eight patients with increased diuresis, fall in central venous pressure and weight loss. In two cases previously unresponsive to 200mg Frusemide and Digoxin, thiazide diuretics alone kept the patients out of failure for over one year after initial treatment with GIK. It is therefore suggested that patients with congestive cardiomyopathy unresponsive to standard treatment should be given the benefit of intravenous GIK in the above manner.

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/content/CAJM/26/12/AJA00089176_1215
1980-12-01
2020-06-03

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