SEVERE HYPERKALEMIA WITHOUT ELECTROCARDIOGRAPHIC CHANGES IN A PATIENT WITH ADDISON DISEASE

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dc.contributor.authorIşık, Serhat
dc.contributor.authorBerker, Dilek
dc.contributor.authorAydın, Yusuf
dc.contributor.authorÖzuğuz, Ufuk
dc.contributor.authorTütüncü, Yasemin
dc.contributor.authorŞimşek, Yasin
dc.contributor.authorGüler, Serdar
dc.date.accessioned2020-04-30T23:31:55Z
dc.date.available2020-04-30T23:31:55Z
dc.date.issued2010
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000287017600011en_US
dc.description.abstractObjective. 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.en_US
dc.identifier.doi10.4183/aeb.2010.251en_US
dc.identifier.endpage255en_US
dc.identifier.issn1841-0987
dc.identifier.issue2en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage251en_US
dc.identifier.urihttps://doi.org/10.4183/aeb.2010.251
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4528
dc.identifier.volume6en_US
dc.identifier.wosWOS:000287017600011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherEditura Acad Romaneen_US
dc.relation.ispartofActa Endocrinologica-Bucharesten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHyperkalemiaen_US
dc.subjectAddison Diseaseen_US
dc.subjectchronic renal failureen_US
dc.subjectelectrocardiographyen_US
dc.titleSEVERE HYPERKALEMIA WITHOUT ELECTROCARDIOGRAPHIC CHANGES IN A PATIENT WITH ADDISON DISEASEen_US
dc.typeArticleen_US

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