title: Electrocardiographic finding simulating acute myocardial infarction in a compound metabolic aberration.
abstract: A patient with hypokalemic metabolic alkalosis, hypophosphatemia, and hypomagnesemia/hypocalcemia is described. Electrocardiography demonstrated the pattern of acute anterior myocardial infarction. Further evaluation revealed that the patient had not actually had the acute myocardial infarction and that the electrocardiographic change was a mere simulation. The possible role of hypomagnesemia in the pathogenesis of the electrocardiographic change and the interrelation between the metabolic disturbances noted are discussed.
authors.forename: R
authors.initials: R
authors.lastname: Khardori
authors.forename: B
authors.initials: B
authors.lastname: Cohen
authors.forename: D
authors.initials: D
authors.lastname: Taylor
authors.forename: N G
authors.initials: NG
authors.lastname: Soler
mesh_terms: D000471:Alkalosis / Q000209:etiology; D003937:Diagnosis, Differential; D011756:Diphosphates; D004562:Electrocardiography; D006801:Humans; D006996:Hypocalcemia / Q000503:physiopathology; D007008:Hypokalemia / Q000150:complications; D007015:Hypophosphatemia, Familial / Q000503:physiopathology; D008274:Magnesium / Q000097:blood; D008297:Male; D008661:Metabolism, Inborn Errors / Q000097:blood / Q000503:physiopathology* / Q000628:therapy; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000503:physiopathology*; D011877:Radionuclide Imaging; D013667:Technetium; D016698:Technetium Tc 99m Pyrophosphate
chemical_list: D011756:Diphosphates; D016698:Technetium Tc 99m Pyrophosphate; D013667:Technetium; D008274:Magnesium