Hyperkalemia: Difference between revisions

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{{Case
{{Case
|Title = Potassium induced ECG changes
|Title = Not an MI
|CasePresentation = A 58 year old man was admitted to the hospital with diabetic ketoacidosis. He had no previous cardiovascular history. He had been vomiting for 6 hours. On exam he was dehydrated and had a ketotic smell. Blood tests: pH of 7.2, Sodium 129 mmol/L and potassium 6.9 mmol/L, glucose 45 mmol/L. His admission ECG is shown below. The patient was referred for immediate coronary angiography.No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below.
|CasePresentation = A 58 year old man was admitted to the hospital with diabetic ketoacidosis. He had no previous cardiovascular history. He had been vomiting for 6 hours. On exam he was dehydrated and had a ketotic smell. Blood tests: pH of 7.2, Sodium 129 mmol/L and potassium 6.9 mmol/L, glucose 45 mmol/L. His admission ECG is shown below. The patient was referred for immediate coronary angiography. No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below.
|Courtesy = M. Meuwissen, MD, PhD, AMC, The Netherlands
|Courtesy = M. Meuwissen, MD, PhD, AMC, The Netherlands
 
|filepointer1=[[File:DRJ_case_2_1.png|300px]]
|filepointer1=[[File:MM0107.jpg|300px]]
|file_name1=
|file_name1=
|descriptionfile1=Admission ECG
|descriptionfile1=Admission ECG


|filepointer2=<flash>file=MM0110.swf|quality=best|align=center|width=300|height=300</flash>
|filepointer2=<flash>file=MM0112.swf|quality=best|align=center|width=300|height=300</flash>
|file_name2=MM0110
|file_name2=MM0112
|descriptionfile2=Right coronary artery
|descriptionfile2=Right coronary artery


|filepointer3=<flash>file=MM0109.swf|quality=best|align=center|width=300|height=300</flash>
|filepointer3=<flash>file=MM0111.swf|quality=best|align=center|width=300|height=300</flash>
|file_name3=MM0109
|file_name3=MM0111
|descriptionfile3=Left coronary artery
|descriptionfile3=Left coronary artery


|filepointer4=[[File:MM0106.jpg|300px]]
|filepointer4=[[File:DRJ_case_2_4.png|300px]]
|file_name4=
|file_name4=
|descriptionfile4=Exercise ECG: rest
|descriptionfile4=Follow-up ECG
 
|filepointer5=[[File:MM0108.jpg|300px]]
|file_name5=
|descriptionfile5=Exercise ECG: maximal exercise
}}
}}

Latest revision as of 15:58, 29 April 2010

Not an MI
Case description: A 58 year old man was admitted to the hospital with diabetic ketoacidosis. He had no previous cardiovascular history. He had been vomiting for 6 hours. On exam he was dehydrated and had a ketotic smell. Blood tests: pH of 7.2, Sodium 129 mmol/L and potassium 6.9 mmol/L, glucose 45 mmol/L. His admission ECG is shown below. The patient was referred for immediate coronary angiography. No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below.
Courtesy of: M. Meuwissen, MD, PhD, AMC, The Netherlands
File:DRJ case 2 1.png <flash>file=MM0112.swf
Admission ECG Right coronary artery
Magnifier.pngenlarge

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<flash>file=MM0111.swf File:DRJ case 2 4.png
Left coronary artery Follow-up ECG
Magnifier.pngenlarge

Ppt logo.pngdownload file to use in your powerpoint presentation