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ST Elevations in the Setting of Hyperkalemia
JAMA Internal Medicine ( IF 39.0 ) Pub Date : 2018-01-01 , DOI: 10.1001/jamainternmed.2017.6329
Mark Heckle 1 , Manyoo Agarwal 1 , Shadwan Alsafwah 1
Affiliation  

A woman in her 50s with a history of hypertension, hyperlipidemia, diabetes, neuropathy, smoking, asthma, and previous stroke presented with altered mental status and respiratory distress necessitating intubation in the field. An electrocardiogram (ECG) was recorded on presentation (Figure 1). On arrival, she was found to have 1 episode of nonsustained ventricular tachycardia but otherwise remained in normal sinus rhythm. Home medications included lisinopril, amitriptyline hydrochloride, and insulin. On physical examination, she was nonresponsive, with blood pressure of 113/70 mm Hg and pulse of 59 beats per minute with 100% oxygen saturation with mechanical ventilation. Examination including the cardiovascular system had normal results.



中文翻译:

高血钾环境中的ST升高

一名五十多岁的女性,有高血压,高脂血症,糖尿病,神经病,吸烟,哮喘和先前的中风病史,其精神状态改变和呼吸窘迫需要在现场插管。呈现时记录心电图(ECG)(图1)。到达后,发现她有1次非持续性室性心动过速,但仍保持正常的窦性心律。家庭药物包括赖诺普利,盐酸阿米替林和胰岛素。身体检查无反应,血压为113/70 mm Hg,脉搏每分钟59次,机械通气时氧饱和度为100%。包括心血管系统在内的检查均正常。

更新日期:2018-01-02
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