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Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block

Hyperkalemia is one of the most common electrolyte abnormalities seen in clinical practice and the most common life-threatening electrolyte abnormality seen in the emergency department. It is most often due to impaired renal potassium excretion due to acute on chronic kidney disease or the use of dr...

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Autores principales: Chandok, Taruna, Lee, Somin, Ali, Nisha, Singh, Amandeep, Cautha, Sandhya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099660/
https://www.ncbi.nlm.nih.gov/pubmed/37065408
http://dx.doi.org/10.7759/cureus.36124
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author Chandok, Taruna
Lee, Somin
Ali, Nisha
Singh, Amandeep
Cautha, Sandhya
author_facet Chandok, Taruna
Lee, Somin
Ali, Nisha
Singh, Amandeep
Cautha, Sandhya
author_sort Chandok, Taruna
collection PubMed
description Hyperkalemia is one of the most common electrolyte abnormalities seen in clinical practice and the most common life-threatening electrolyte abnormality seen in the emergency department. It is most often due to impaired renal potassium excretion due to acute on chronic kidney disease or the use of drugs that inhibit the renin-angiotensin-aldosterone axis. The most common clinical presentation is muscle weakness and cardiac conduction abnormalities. In the Emergency Department, ECG can come in handy as the first diagnosis of hyperkalemia before labs are drawn and reported. Early recognition of electrocardiographic (ECG) changes can prompt early correction and reduce mortality. We hereby, present a case of transient left bundle branch block in the setting of hyperkalemia secondary to statin-induced rhabdomyolysis.
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spelling pubmed-100996602023-04-14 Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block Chandok, Taruna Lee, Somin Ali, Nisha Singh, Amandeep Cautha, Sandhya Cureus Cardiology Hyperkalemia is one of the most common electrolyte abnormalities seen in clinical practice and the most common life-threatening electrolyte abnormality seen in the emergency department. It is most often due to impaired renal potassium excretion due to acute on chronic kidney disease or the use of drugs that inhibit the renin-angiotensin-aldosterone axis. The most common clinical presentation is muscle weakness and cardiac conduction abnormalities. In the Emergency Department, ECG can come in handy as the first diagnosis of hyperkalemia before labs are drawn and reported. Early recognition of electrocardiographic (ECG) changes can prompt early correction and reduce mortality. We hereby, present a case of transient left bundle branch block in the setting of hyperkalemia secondary to statin-induced rhabdomyolysis. Cureus 2023-03-14 /pmc/articles/PMC10099660/ /pubmed/37065408 http://dx.doi.org/10.7759/cureus.36124 Text en Copyright © 2023, Chandok et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Chandok, Taruna
Lee, Somin
Ali, Nisha
Singh, Amandeep
Cautha, Sandhya
Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block
title Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block
title_full Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block
title_fullStr Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block
title_full_unstemmed Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block
title_short Dynamic Changes of EKG by Severe Hyperkalemia: Transient Left Bundle Branch Block
title_sort dynamic changes of ekg by severe hyperkalemia: transient left bundle branch block
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099660/
https://www.ncbi.nlm.nih.gov/pubmed/37065408
http://dx.doi.org/10.7759/cureus.36124
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