| Potassium induced ECG changes
|
| 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
 download file to use in your powerpoint presentation
|
| <flash>file=MM01.swf
|
File:MM01.jpg
|
| Left coronary artery
|
Exercise ECG: rest
|
enlarge
download file to use in your powerpoint presentation
|
|
| File:MM01.jpg
|
|
| Exercise ECG: maximal exercise
|
|
|
|
|
|
|
|
|
|
|
|
|
|
enlarge
