Pseudo-myocardial infarction in diabetic ketoacidosis with hyperkalemia.
Hyperkalemia-induced electrocardiogram changes such as dysrhythmias and altered T wave morphology are well described in the medical literature. Pseudo-infarction hyperkalemia-induced changes are less well known, but present a unique danger for the clinician treating these critically ill patients. This article describes a case of pseudo anteroseptal myocardial infarction in a type 1 diabetic with hyperkalemia. The most common patterns of pseudo-infarct and their associated potassium concentrations are then summarized from a literature review of 24 cases.
Bellazzini
Marc A
MA
Section of Emergency Medicine, University of Wisconsin (UW) Hospital and Clinics, Madison, WI 53792, USA.
Meyer
Tom
T
D000328:Adult; D016883:Diabetic Ketoacidosis / Q000175:diagnosis* / Q000503:physiopathology; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D006947:Hyperkalemia / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology