Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report

BACKGROUND: Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event. CASE PRESENTATION: We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency...

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Detalles Bibliográficos
Autores principales: Jayawardena, Suriya, Burzyantseva, Olga, Shetty, Sanjay, Niranjan, Selvanayagam, Khanna, Ashoke
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576186/
https://www.ncbi.nlm.nih.gov/pubmed/18845006
http://dx.doi.org/10.1186/1757-1626-1-232
Descripción
Sumario:BACKGROUND: Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event. CASE PRESENTATION: We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency room (ER) due to careful history taking, serum electrolytes and repeat EKG a correct diagnosis was made and both hyperkalemia and paralysis were treated on time. CONCLUSION: Hyperkalaemic paralysis is rare. One must keep it in the back of the mind especially in the case of renal failure patients to avoid misdiagnosing a rapidly fatal but yet completely reversible condition.

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