A Case of Severe Hyperkalemia Presenting with No Significant ECG Changes
Published: May 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/32388.11520
Rasha Haykal, Mohamed A Youniss, Mohamad Al Kateb, Hale Z Toklu, Christopher L Bray
1. Internal Medicine Resident, University of Central Florida College of Medicine and North Florida Regional Medical Center, Fl, USA.
2. Internal Medicine Resident, University of Central Florida College of Medicine and North Florida Regional Medical Center, Fl, USA.
3. Internal Medicine Resident, University of Central Florida College of Medicine and North Florida Regional Medical Center, Fl, USA.
4. Research Director, University of Central Florida/ HCA Graduate Medical Education, Fl, USA.
5. Internal Medicine Residency Program Director, University of Central Florida College of Medicine and North Florida Regional Medical Center, Fl, USA.
Correspondence
Dr. Rasha Haykal,
University of Central Florida College of Medicine, North Florida Regional Medical Center, Internal Medicine Residency Program,
6500 Newberry Rd. 32605 FL, USA.
E-mail: rasha.haykal@hcahealthcare.com
An increase in serum potassium levels is followed by progressively severe electrophysiological derangements in cardiac impulse generation and conduction, which are reflected in the electrocardiogram (ECG). Severe hyperkalemia with minimal or nonspecific ECG changes is unusual. Here we report a 69-year-old female who presented to our emergency department with hyperkalemia and was found to have no significant ECG changes.
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