Sliding with the sines−fatal hyperkalemia:A case report  

作　　者：Kyaw Khaing Soe Arnold Hoo Seto 

机构地区：[1]Internal Medicine,Methodist Hospital of Southern California,Arcadia,CA 91007,United States [2]Graduate Medical Education,St.Mary Medical Center,Long Beach,CA 90813,United States [3]Department of Medicine,University of California Irvine,Orange,CA 92868,United States [4]Interventional Cardiology,Long Beach VA Medical Center,Long Beach,CA 90822,United States

出　　处：《World Journal of Cardiology》2021年第7期230-236,共7页世界心脏病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Classic electrocardiographic manifestations of hyperkalemia starting with peaked symmetrical T-waves are widely recognized in daily clinical practice but little evidence is documented how quickly it can evolve in real-time.CASE SUMMARY An elderly diabetic and hypertensive male presented with acute renal failure and rhabdomyolysis.He experienced cardiac arrest with moderate hyperkalemia despite medical treatment and hemodialysis.Telemetry changes were retrospectively studied and found to have significant rhythm changes that occurred just less than 10 minutes prior to the cardiac arrest.CONCLUSION In hyperkalemia,telemetry rhythm can change instantaneously in a significant way.Rapidly rising potassium could be life threatening and may require more than medical treatment.

关 键 词：ELECTROCARDIOGRAM ARRHYTHMIA HYPERKALEMIA Electrolyte imbalance Cardiac arrest Case report 

分 类 号：R541.78[医药卫生—心血管疾病] R589.4[医药卫生—内科学]