Hyperkalemia
Jump to navigation
Jump to search
| 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:MM01.jpg | <flash>file=MM01.swf |
| Admission ECG | Right coronary artery |
 enlarge | |
| <flash>file=MM01.swf | File:MM01.jpg |
| Left coronary artery | Exercise ECG: rest |
| enlarge |
|
| File:MM01.jpg | |
| Exercise ECG: maximal exercise | |
