Interv Akut Kardiol. 2007;6(4):144-146

Focal ECG changes caused by metabolic dysbalance and imitating acute coronary syndrome

Jaromír Břeň, Petr Kala, Martin Poloczek, Otakar Boček, Jindřich Špinar
Interní kardiologická klinika FN a LF MU v Brně

We present a case of a patient with ST elevations in leads II, III, AVF and subjective problems suspected of acute coronary syndrome. Subsequent investigation excluded the acute coronary syndrome and the metabolic dysbalance with severe hyperkalemia was diagnosed. The ST elevations disappear after the correction of parameters of mineral balance. We discuss the differential diagnosis of ST elevations in relationship to hyperkalemia.

Keywords: ECG, ST elevation, hyperkalemia

Published: October 23, 2007  Show citation

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Břeň J, Kala P, Poloczek M, Boček O, Špinar J. Focal ECG changes caused by metabolic dysbalance and imitating acute coronary syndrome. Interv Akut Kardiol. 2007;6(4):144-146.
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    References

    1. Aschermann M. Kardiologie. Praha: Galén 2004, 197-229. Go to original source...
    2. Čihalík Č. Atlas klinické elektrokardiografie. Olomouc: Vydavatelství Univerzity Palackého 1998, 172-174.
    3. Bada V. Praktická příručka elektrokardiografie. Praha: Státní pedagogické nakladatelství 1997, 61.

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