Severe hyperkalemia with minimal electrocardiographic manifestations -: A report of seven cases

被引：84

作者：

Martinez-Vea, A

Bardají, A

Garcia, C

Oliver, JA

机构：

[1] Univ Rovira & Virgili, Hosp Univ Tarragona Joan XXIII, Serv Nephrol, Dept Med & Surg, Tarragona, Spain

[2] Univ Rovira & Virgili, Hosp Univ Tarragona Joan XXIII, Cardiol Sect, Dept Med & Surg, Tarragona, Spain

来源：

JOURNAL OF ELECTROCARDIOLOGY | 1999年 / 32卷 / 01期

关键词：

hyperkalemia; electrocardiogram;

D O I：

10.1016/S0022-0736(99)90020-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Severe hyperkalemia with minimal or nonspecific electrocardiographic (ECG) changes is unusual. We report data on seven patients with renal failure, metabolic acidosis, and severe hyperkalemia (K+ greater than or equal to 8 mmol/L) without typical ECG changes. Initial ECGs revealed sinus rhythm and PR and QT intervals in the normal range. QRS intervals were slightly prolonged in two patients (110 ms), and incomplete right bundle branch block was evident in one. Thus, the absence of typical ECG changes does not preclude severe hyperkalemia.

引用

页码：45 / 49

页数：5

共 15 条

[1] THE ELECTROCARDIOGRAM AND DISTURBANCE OF POTASSIUM METABOLISM [J].