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Correspondence
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Volume 353:850-851 August 25, 2005 Number 8
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Gitelman's Not-So-Benign Syndrome

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To the Editor: Gitelman's syndrome, or congenital hypokalemic hypomagnesemic hypocalciuria with metabolic alkalosis, is widely described as a benign1 or milder2 variant of Bartter's syndrome. Despite symptoms including presyncope, vertigo, ataxia, and blurred vision, few data have been accumulated regarding formal cardiac evaluation for patients with Gitelman's syndrome.3

We report a case of Gitelman's syndrome in a patient presenting with presyncope coincident with long runs of ventricular tachycardia at 230 beats per minute that was decidedly malignant. An otherwise well 39-year-old woman taking no medications (not even thiazides) presented with recurrent presyncope. An echocardiogram and the results of a stress . . . [Full Text of this Article]


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