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Hyperkalemia: Difference between revisions
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{{Case | |||
|Title = Potassium induced ECG changes | |||
|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 | |||
|filepointer1=[[File:MM0107.jpg|300px]] | |||
|file_name1= | |||
|descriptionfile1=Admission ECG | |||
|filepointer2=<flash>file=MM0110.swf|quality=best|align=center|width=300|height=300</flash> | |||
|file_name2=MM0110 | |||
|descriptionfile2=Right coronary artery | |||
|filepointer3=<flash>file=MM0109.swf|quality=best|align=center|width=300|height=300</flash> | |||
|file_name3=MM0109 | |||
|descriptionfile3=Left coronary artery | |||
|filepointer4=[[File:MM0106.jpg|300px]] | |||
|file_name4= | |||
|descriptionfile4=Exercise ECG: rest | |||
|filepointer5=[[File:MM0108.jpg|300px]] | |||
|file_name5= | |||
|descriptionfile5=Exercise ECG: maximal exercise | |||
}} | |||