Instantaneous electrocardiographic changes and transient sinus rhythm restoration in severe hyperkalaemia

被引：11

作者：

Gogas, Bill D. ^{[1
]}

Iliodromitis, Efstathios K. ^{[1
]}

Leftheriotis, Dionyssios I. ^{[1
]}

Flevari, Panagiota G. ^{[1
]}

Rallidis, Loukianos S. ^{[1
]}

Kremastinos, Dimitrios T. ^{[1
]}

机构：

[1] Attikon Univ Hosp, Dept Cardiol 2, Athens, Greece

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2011年 / 148卷 / 02期

关键词：

Severe hyperkalaemia; Sinus rhythm recovery; Instantaneous ECG changes;

D O I：

10.1016/j.ijcard.2009.05.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Severe hyperkalaemia is a life threatening electrolyte abnormality that if not treated urgently, might cause electric death. Hyperkalaemia induced electrocardiogram (ECG) alterations vary according to the levels and rate of increase of potassium concentration ([K+]) in the extracellular milieu but the paradox is that not all these cases provide ECG changes. We describe the first case in the literature of transient sinus rhythm (SR) recovery despite severe hyperkalaemia in a 57-year-old (yo) male patient with impressive ECG changes considering the heart rhythm and QRS morphology. We also review the literature for the mechanism of ECG alterations induced by hyperkalaemia. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

引用

页码：E40 / E42

页数：3

共 7 条

[1] Management of severe hyperkalemia without hemodialysis: Case report and literature review [J].