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...

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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
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author Chow, Han Bing
Lim, Caryn Tsujean
Ho, Yik Hon
Cham, Yee Ling
Fong, Alan Yean Yip
Said, Asri
Ong, Tiong Kiam
author_facet Chow, Han Bing
Lim, Caryn Tsujean
Ho, Yik Hon
Cham, Yee Ling
Fong, Alan Yean Yip
Said, Asri
Ong, Tiong Kiam
author_sort Chow, Han Bing
collection PubMed
description 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.
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spelling pubmed-102821652023-06-22 Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report Chow, Han Bing Lim, Caryn Tsujean Ho, Yik Hon Cham, Yee Ling Fong, Alan Yean Yip Said, Asri Ong, Tiong Kiam Clin Case Rep 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. 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. John Wiley and Sons Inc. 2023-06-20 /pmc/articles/PMC10282165/ /pubmed/37351358 http://dx.doi.org/10.1002/ccr3.7580 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Report
Chow, Han Bing
Lim, Caryn Tsujean
Ho, Yik Hon
Cham, Yee Ling
Fong, Alan Yean Yip
Said, Asri
Ong, Tiong Kiam
Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report
title Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report
title_full Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report
title_fullStr Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report
title_full_unstemmed Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report
title_short Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report
title_sort pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: a case report
topic Case Report
url 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
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