We describe a case of a 79-year-old man with pacemaker who presented to the Emergency Department due to asthenia and acute confusional state. He had a history of atrial fibrillation, anemia and colostomy and he was on treatment with diuretics. The electrocardiogram (ECG) showed pacemaker-induced ventricular activity, QRS complexes excessively wide with sine-wave appearance, tall and peaked T waves, without electrically evident atrial activity. Potassium concentration on arterial blood gas analysis was 8.8 mmol/L. ECG abnormalities disappeared after therapy with calcium chloride and spontaneous cardiac activity reappeared.
Electrocardiographic features of Hyperkalemia during acute kidney injury in a patient with pacemaker / Sforza, A.; De Pisapia, F.; De Stefano, G.; Gaspardini, A.; Arnone, M. I.; D'Amato, A.; Carlino, M. V.; Mancusi, C.. - In: ITALIAN JOURNAL OF MEDICINE. - ISSN 1877-9344. - 12:2(2018), pp. 145-147. [10.4081/itjm.2018.986]
Electrocardiographic features of Hyperkalemia during acute kidney injury in a patient with pacemaker
De Pisapia F.;Gaspardini A.;Arnone M. I.;Carlino M. V.;Mancusi C.
2018
Abstract
We describe a case of a 79-year-old man with pacemaker who presented to the Emergency Department due to asthenia and acute confusional state. He had a history of atrial fibrillation, anemia and colostomy and he was on treatment with diuretics. The electrocardiogram (ECG) showed pacemaker-induced ventricular activity, QRS complexes excessively wide with sine-wave appearance, tall and peaked T waves, without electrically evident atrial activity. Potassium concentration on arterial blood gas analysis was 8.8 mmol/L. ECG abnormalities disappeared after therapy with calcium chloride and spontaneous cardiac activity reappeared.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
