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Electrocardiogram manifestations in hyperkalemia

Electrocardiogram manifestations in hyperkalemia

作     者:Ronny Cohen Rhadames Ramos Christine A. Garcia Sohail Mehmood Yoojin Park Anthony Divittis Brooks Mirrer 

作者机构:St. George’s University School of Medicine Grenada West Indies Woodhull Medical Center New York University School of Medicine New York USA 

出 版 物:《World Journal of Cardiovascular Diseases》 (心血管病(英文))

年 卷 期:2012年第2卷第2期

页      面:57-63页

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:EKG ECG Hyperkalemia Electrocardiogram 

摘      要:Hyperkalemia is defined as serum potassium level of more than 5 mmol/L. Prompt identification of hyper-kalemia and appropriate management are critical, since severe hyperkalemia can lead to lethal cardiac dysrhythmias. There is a wide range of electrocardiogram (EKG) changes associated with hyperkalemia. The sequence of EKG changes has been previously described with limited information to correlate the level of potassium to a particular change in the EKG. This study aims to describe a correlation between the level of potassium and EKG changes in the presence or absence of certain diagnoses, to determine which EKG finding in the context of level of hyperkalemia, should be considered life-threatening and prompt emergency intervention. If a relationship between serum levels of potassium and EKG changes is significant, clinicians may be able to better monitor and treat hyperkalemic patients. This paper reviews the literature on hyperkalemia, potassium homeostasis and EKG changes attributed to elevated potassium.

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