Hyperkalemia masking left ventricular hypertrophy in electrocardiogram in a patient with end-stage renal disease

A patient of severe chronic renal failure presented with hyperkalemic electrocardiographic (ECG) changes and hyperkalemia. Following a session of hemodialysis, when he reverted to normokalemia, the repeat ECG revealed left ventricular hypertrophy (LVH). Thus we confronted with a situation of hyperka...

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Detalles Bibliográficos
Autores principales: Sai Naresh, V. V., Ramakrishna, V., Ramakrishna, P., Siva Kumar, V.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847725/
https://www.ncbi.nlm.nih.gov/pubmed/20368916
http://dx.doi.org/10.4103/0971-4065.41284
Descripción
Sumario:A patient of severe chronic renal failure presented with hyperkalemic electrocardiographic (ECG) changes and hyperkalemia. Following a session of hemodialysis, when he reverted to normokalemia, the repeat ECG revealed left ventricular hypertrophy (LVH). Thus we confronted with a situation of hyperkalemia, masking the LVH on ECG initially and when the hyperkalemia was corrected with dialysis the LVH showed in ECG. The plausible explanation for this electrophysiological behaviour was offered.

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