Electrocardiographic manifestations of severe hyperkalemia

被引：66

作者：

Littmann, Laszlo ^{[1
]}

Gibbs, Michael A. ^{[2
]}

机构：

[1] Carolinas Med Ctr, Dept Internal Med, POB 32861, Charlotte, NC 28232 USA

[2] Carolinas Med Ctr, Dept Emergency Med, Charlotte, NC 28203 USA

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2018年 / 51卷 / 05期

关键词：

ECG; Hyperkalemia; Intraventricular conduction block; Pseudo-infarction pattern; Brugada phenocopy; Double-counting of heart rate; Sine-wave; Pulseless electrical activity; Non-shockable wide-complex tachycardia; HEART-RATE; SIGN;

D O I：

10.1016/j.jelectrocard.2018.06.018

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Severe hyperkalemia is a hazardous condition that warrants urgent intervention. In critically ill patients, the electrocardiogram (ECG) can be the most immediately available diagnostic tool in identifying patients with potentially lethal hyperkalemia. Peaking of the T waves, the most widely appreciated ECG sign, is actually rarely a manifestation of life-threatening hyperkalemia. In this review, we provide several clinical-electrocardiographic manifestations that can help identify those patients with hyperkalemia who require prompt intervention. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：814 / 817

页数：4