Double counting heart rate - Littmann sign in electrocardiogram.

Autor:	Wang W; From the Emergency Department, 305 Hospital of PLA, Beijing (100017), People's Republic of China., Deng MY; Respiratory Medicine Department, 305 Hospital of PLA, Beijing (100017), People's Republic of China., Zhai WH; From the Emergency Department, 305 Hospital of PLA, Beijing (100017), People's Republic of China., Ma JH; Department of Clinical Medicine, Yanjing Medical College, Capital Medical University, Beijing (100069), People's Republic of China., Zhang Y; From the Emergency Department, 305 Hospital of PLA, Beijing (100017), People's Republic of China., Ma JX; Cadre ward, 305 Hospital of PLA, Beijing (100017), People's Republic of China., Zhang JP; Medical Department, 305 Hospital of PLA, Beijing (100017), People's Republic of China.
Jazyk:	angličtina
Zdroj:	Heliyon [Heliyon] 2024 Feb 15; Vol. 10 (4), pp. e26020. Date of Electronic Publication: 2024 Feb 15 (Print Publication: 2024).
DOI:	10.1016/j.heliyon.2024.e26020
Abstrakt:	This report highlights necessity of correctly and quickly identifying Littmann sign. Littmann sign is not common in clinical practice, which is easily overlooked by most physicians, leading to delays in the treatment of hyperkalemia. A 68 year old patient with hyperkalemia was found to have inconsistent heart rate displayed on electrocardiogram monitoring with cardiac auscultation and synchronous electrocardiogram in the early stages of onset. Hyperkalemia was highly suspected by the Littmann sign. After completing arterial blood gas analysis, hyperkalemia was identified and active potassium lowering treatment was immediately initiated. The Littmann syndrome disappeared, and the patient eventually recovered. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors.)
Databáze:	MEDLINE
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