title: ECG changes in hyperemesis gravidarum.
abstract: This is a case report of a 30-year-old patient presenting at advanced gestation with hyperemesis, who developed a prolonged QT interval secondary to electrolyte imbalance during recovery. This potentially fatal complication should be considered in all patients with hyperemesis gravidarum, especially after a prolonged period of starvation. We hope to highlight the importance of ECG monitoring and careful prescribing in such cases, something that is not considered in current guidelines.
authors.affiliation: Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
authors.forename: Sophie Jessica
authors.initials: SJ
authors.lastname: Mitchell
authors.affiliation: Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
authors.forename: Patricia
authors.initials: P
authors.lastname: Cox
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000150:complications*; D008133:Long QT Syndrome / Q000209:etiology*; D011247:Pregnancy; D011295:Prenatal Care; D014883:Water-Electrolyte Imbalance / Q000150:complications* / Q000628:therapy