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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report
Suriya Jayawardena1, Olga Burzyantseva, Sanjay Shetty
1Coney Island Hospital/Maimonides Medical Center, 2601 Ocean Parkway, Brooklyn, NY 11235, USA. suriyakbrsj@yahoo.com.
Background:
Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event.
Case Presentation:
We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency room (ER) due to careful history taking, serum electrolytes and repeat EKG a correct diagnosis was made and both hyperkalemia and paralysis were treated on time.
Conclusion:
Hyperkalaemic paralysis is rare. One must keep it in the back of the mind especially in the case of renal failure patients to avoid misdiagnosing a rapidly fatal but yet completely reversible condition.
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