Severe hypocalcemia mimicking ST-segment elevation acute myocardial infarction

被引：4

作者：

Kukla, Piotr ^{[1
]}

Kulik, Monika ^{[2
]}

Jastrzebski, Marek ^{[3
]}

Bryniarski, Leszek ^{[3
]}

Czarnecka, Danuta ^{[3
]}

Baranchuk, Adrian ^{[4
]}

机构：

[1] Specialist Hosp, Dept Cardiol & Internal Dis, Gorlice, Poland

[2] Specialist Hosp St Lucas, Dept Internal Med & Toxicol, Tarnow, Poland

[3] Jagiellonian Univ, Med Coll, Dept Cardiol Intervent Electrocardiol & Hypertens, Krakow, Poland

[4] Queens Univ, Kingston Gen Hosp, Div Cardiol, Kingston, ON, Canada

来源：

ANNALS OF NONINVASIVE ELECTROCARDIOLOGY | 2017年 / 22卷 / 02期

关键词：

electrocardiogram; hypercalcemia; QT interval; ELECTROCARDIOGRAPHIC MANIFESTATIONS; HYPOMAGNESEMIA; ELECTROLYTES;

D O I：

10.1111/anec.12401

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Hypocalcemia is mainly the consequence of hypoalbuminemia, advanced renal impairment, cirrhosis, malnutrition, or sepsis. The most common ECG manifestation of hypocalcemia is QT prolongation as a result of ST segment lengthening. Very occasionally, hypocalcemia can manifest with ST segment elevation forcing the differential diagnosis with ST elevation MI. We described a case of severe hypocalcemia manifesting in electrocardiogram with a J point elevation, absent of ST segment and with associated short QT interval mimicking acute myocardial infarction.

引用

页数：3

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