Sliding with the sines - fatal hyperkalemia: A case report.
| Autor: | Soe KK; Internal Medicine, Methodist Hospital of Southern California, Arcadia, CA 91007, United States., Seto AH; Department of Medicine, University of California Irvine, Orange, CA 92868, United States. |
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| Jazyk: | angličtina |
| Zdroj: | World journal of cardiology [World J Cardiol] 2021 Jul 26; Vol. 13 (7), pp. 230-236. |
| DOI: | 10.4330/wjc.v13.i7.230 |
| Abstrakt: | Background: Classic electrocardiographic manifestations of hyperkalemia starting with peaked symmetrical T-waves are widely recognized in daily clinical practice but little evidence is documented how quickly it can evolve in real-time. Case Summary: An elderly diabetic and hypertensive male presented with acute renal failure and rhabdomyolysis. He experienced cardiac arrest with moderate hyperkalemia despite medical treatment and hemodialysis. Telemetry changes were retrospectively studied and found to have significant rhythm changes that occurred just less than 10 minutes prior to the cardiac arrest. Conclusion: In hyperkalemia, telemetry rhythm can change instantaneously in a significant way. Rapidly rising potassium could be life threatening and may require more than medical treatment. Competing Interests: Conflict-of-interest statement: The authors declare that they have no conflict of interest. (©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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