An Incidental Finding on a Preprocedural Electrocardiogram

被引：0
作者：
Dzikowicz, Dillon J. [1 ]
Carey, Mary G. [1 ]
机构：
[1] Univ Rochester, Sch Nursing, Rochester, NY 14627 USA
来源：
JNP-JOURNAL FOR NURSE PRACTITIONERS | 2020年 / 16卷 / 03期
关键词：
Bartter syndrome; case reports; electrocardiography; heart diseases; kidney diseases; LEFT ATRIAL ENLARGEMENT;
D O I：
10.1016/j.nurpra.2019.09.005
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
A middle-aged, asymptomatic woman with a medical history of Bartter syndrome and chronic kidney disease presented to the ambulatory clinic for a routine outpatient colonoscopy. The nurse practitioner ordered a resting 12-lead electrocardiogram to screen for prolongation of the corrected QT (QTc) interval, associated with increased risk for arrhythmia. The patient was in normal sinus rhythm at 77 beats/min. The QTc was 426 milliseconds. Notched P waves and a negative P terminal force in lead V-1 were present. Because the QTc interval was normal, the colonoscopy was completed, and no complications occurred. The patient was referred to cardiology for a consultation. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码：E49 / E52
页数：4
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