Journal of Postgraduate Medicine
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 CASE REPORT
Year : 2014  |  Volume : 60  |  Issue : 3  |  Page : 338-340

Hyperkalemia induced pseudo-myocardial infarction in septic shock


Department of Emergency Medicine, Singapore General Hospital, Singapore

Correspondence Address:
Dr. S E Pothiawala
Department of Emergency Medicine, Singapore General Hospital
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.138828

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Hyperkalemia is an acute life-threatening disorder presenting to the emergency department. Patients with hyperkalemia may manifest characteristic electrocardiographic changes including tented T waves, widening of the QRS complex and loss of P waves, sine wave pattern and eventually asystole. There have been only few reports of hyperkalemia causing ST segment elevation on electrocardiogram simulating an acute myocardial infarction. This case describes pseudo-myocardial infarction due to hyperkalemia and septic shock. Rapid determination of serum potassium levels by bedside blood gas analyzers serves to be a useful guide. ST segment elevation related to hyperkalemia will resolve with successful reduction of the serum potassium levels by appropriate therapy. It is important for physicians to be aware of this condition as this will aid in initiating correct therapy and prevent the patient from unnecessary interventions and the associated risk of complications.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow