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Published on: September 18, 2017
Pseudo-myocardial infarction in diabetic ketoacidosis with hyperkalemia
1Section of Emergency Medicine, University of Wisconsin (UW) Hospital and Clinics, Madison, WI 53792, USA.
Abstract:
Hyperkalemia-induced electrocardiogram changes such as dysrhythmias and altered T wave morphology are well described in the medical literature. Pseudo-infarction hyperkalemia-induced changes are less well known, but present a unique danger for the clinician treating these critically ill patients. This article describes a case of pseudo anteroseptal myocardial infarction in a type 1 diabetic with hyperkalemia. The most common patterns of pseudo-infarct and their associated potassium concentrations are then summarized from a literature review of 24 cases.
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