Case Reports
Vol. 12 No. 2 (2018)
https://doi.org/10.4081/itjm.2018.986

Electrocardiographic features of hyperkalemia during acute kidney injury in a patient with pacemaker

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 19 January 2018
Published: 20 June 2018
1649
Views
756
Downloads
281
HTML
Hyperkalemia, implantable medical devices, electrocardiography, calcium chloride therapy, kidney disease.
Medicine, Emergency Medicine.

Authors

Alfonso Sforza
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
Federica De Pisapia
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
Giuliano De Stefano
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
Antonio Gaspardini
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
Maria Immacolata Arnone
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
Andrea D'Amato
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
Maria Viviana Carlino
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
Costantino Mancusi
costantino.mancusi@unina.it
Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
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.

Downloads

Download data is not yet available.

How to Cite



Electrocardiographic features of hyperkalemia during acute kidney injury in a patient with pacemaker. (2018). Italian Journal of Medicine, 12(2), 145-147. https://doi.org/10.4081/itjm.2018.986

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.