Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report

KEY CLINICAL MESSAGE: The high‐risk “Shark Fin” electrocardiogram (ECG) pattern has been associated with transmural ischemia but can also result from electrolyte anomalies. Therefore, the decision for invasive coronary catheterization requires a detailed history and dedicated biochemical tests. ABST...

Descripción completa

Detalles Bibliográficos
Autores principales: Chow, Han Bing, Lim, Caryn Tsujean, Ho, Yik Hon, Cham, Yee Ling, Fong, Alan Yean Yip, Said, Asri, Ong, Tiong Kiam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282165/
https://www.ncbi.nlm.nih.gov/pubmed/37351358
http://dx.doi.org/10.1002/ccr3.7580
Descripción
Sumario:KEY CLINICAL MESSAGE: The high‐risk “Shark Fin” electrocardiogram (ECG) pattern has been associated with transmural ischemia but can also result from electrolyte anomalies. Therefore, the decision for invasive coronary catheterization requires a detailed history and dedicated biochemical tests. ABSTRACT: Pseudo‐infarction ECG pattern resembling “Shark Fin” was demonstrated in a 76‐year‐old lady with a previous total thyroidectomy who presented with unspecific symptoms. An incidental finding of hypokalemia and hypocalcemia was thought to be related to delayed onset hypoparathyroidism. Potential etiologies like coronary vasospasm and catecholamine‐associated myocardial injury were suggested.

Ejemplares similares