Severe hypocalcemia mimicking ST-segment elevation acute myocardial infarction

被引：4
作者：
Kukla, Piotr [1 ]
Kulik, Monika [2 ]
Jastrzebski, Marek [3 ]
Bryniarski, Leszek [3 ]
Czarnecka, Danuta [3 ]
Baranchuk, Adrian [4 ]
机构：
[1] Specialist Hosp, Dept Cardiol & Internal Dis, Gorlice, Poland
[2] Specialist Hosp St Lucas, Dept Internal Med & Toxicol, Tarnow, Poland
[3] Jagiellonian Univ, Med Coll, Dept Cardiol Intervent Electrocardiol & Hypertens, Krakow, Poland
[4] Queens Univ, Kingston Gen Hosp, Div Cardiol, Kingston, ON, Canada
来源：
ANNALS OF NONINVASIVE ELECTROCARDIOLOGY | 2017年 / 22卷 / 02期
关键词：
electrocardiogram; hypercalcemia; QT interval; ELECTROCARDIOGRAPHIC MANIFESTATIONS; HYPOMAGNESEMIA; ELECTROLYTES;
D O I：
10.1111/anec.12401
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Hypocalcemia is mainly the consequence of hypoalbuminemia, advanced renal impairment, cirrhosis, malnutrition, or sepsis. The most common ECG manifestation of hypocalcemia is QT prolongation as a result of ST segment lengthening. Very occasionally, hypocalcemia can manifest with ST segment elevation forcing the differential diagnosis with ST elevation MI. We described a case of severe hypocalcemia manifesting in electrocardiogram with a J point elevation, absent of ST segment and with associated short QT interval mimicking acute myocardial infarction.
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页数：3
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