Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient

The patient is a 73‐year‐old female with peripheral vascular disease, coronary artery disease, and systemic lupus erythematosus, who underwent mesenteric artery bypass surgery. She suffered from a pneumonia after surgery, causing acute hypoxic respiratory failure and septic shock. Due to shock, she...

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Detalles Bibliográficos
Autores principales: Junarta, Joey, Marhefka, Gregary D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296799/
https://www.ncbi.nlm.nih.gov/pubmed/35112766
http://dx.doi.org/10.1111/anec.12935
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author Junarta, Joey
Marhefka, Gregary D.
author_facet Junarta, Joey
Marhefka, Gregary D.
author_sort Junarta, Joey
collection PubMed
description The patient is a 73‐year‐old female with peripheral vascular disease, coronary artery disease, and systemic lupus erythematosus, who underwent mesenteric artery bypass surgery. She suffered from a pneumonia after surgery, causing acute hypoxic respiratory failure and septic shock. Due to shock, she developed acute renal failure. She was intubated, ventilated, and received continuous veno‐venous hemodialysis for renal failure. ST elevation was first observed on telemetry and subsequently confirmed on electrocardiogram. Marked ST elevation is present in the anterior leads with reciprocal ST depression in the inferior leads. A prolonged QT interval is also present. What is the most likely diagnosis?
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spelling pubmed-92967992022-07-20 Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient Junarta, Joey Marhefka, Gregary D. Ann Noninvasive Electrocardiol Case Reports The patient is a 73‐year‐old female with peripheral vascular disease, coronary artery disease, and systemic lupus erythematosus, who underwent mesenteric artery bypass surgery. She suffered from a pneumonia after surgery, causing acute hypoxic respiratory failure and septic shock. Due to shock, she developed acute renal failure. She was intubated, ventilated, and received continuous veno‐venous hemodialysis for renal failure. ST elevation was first observed on telemetry and subsequently confirmed on electrocardiogram. Marked ST elevation is present in the anterior leads with reciprocal ST depression in the inferior leads. A prolonged QT interval is also present. What is the most likely diagnosis? John Wiley and Sons Inc. 2022-02-03 /pmc/articles/PMC9296799/ /pubmed/35112766 http://dx.doi.org/10.1111/anec.12935 Text en © 2022 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. 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 Reports
Junarta, Joey
Marhefka, Gregary D.
Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient
title Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient
title_full Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient
title_fullStr Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient
title_full_unstemmed Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient
title_short Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient
title_sort hypophosphatemia causing st elevation in a critically ill noncardiac surgery postoperative patient
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296799/
https://www.ncbi.nlm.nih.gov/pubmed/35112766
http://dx.doi.org/10.1111/anec.12935
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