SEVERE HYPERKALEMIA WITHOUT ELECTROCARDIOGRAPHIC CHANGES IN A PATIENT WITH ADDISON DISEASE
Yükleniyor...
Dosyalar
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Editura Acad Romane
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective. Hyperkalemia is one of the most common acute life-threatening metabolic emergencies. Alterations in scrum potassium (K(+)) levels can have dramatic effects on cardiac cell conduction and may lead to electrocardiographic (ECG) changes. But in some patients ECG changes do not accompany serum K(+) abnormalities. Severe hyperkalemia secondary to Addison Disease (AD) is rare. Case. A 40-year-old woman with AD was admitted to emergency service with generalized pain. The patient's serum K(+) level was found to be at the highest level that can be detected in our laboratory (>10.0 mmol/L, normal 3.5-4.5 mmol/L) and repeated serum K(+) confirmed the previous result. Results of repeated ECGs have revealed a normal sinus rhythm. Our case is particularly interesting because it demonstrates an Addison patient that has an extremely high level of K(+) (>10 mmol/L) without any accompanying ECG changes. Conclusion. Our case confirms that diagnostic ECG changes do not always accompany severe hyperkalemia. Therefore, clinicians should be careful that ECG may look normal in the presence of severe hyperkalemia.
Açıklama
WOS: 000287017600011
Anahtar Kelimeler
Hyperkalemia, Addison Disease, chronic renal failure, electrocardiography
Kaynak
Acta Endocrinologica-Bucharest
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
6
Sayı
2
