این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Heart Journal، جلد ۲۶، شماره ۴، صفحات ۸۵-۸۸
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Unusual Manifestations of Severe Hypokalemia: Arrhythmias and Severe Ischemic ECG Changes-A Case Report
چکیده انگلیسی مقاله Hypokalemia, characterized by low serum potassium levels, can cause marked alterations in cardiac electrical activity and lead to a range of ECG abnormalities. These changes span from mild findings to severe, life-threatening arrhythmias. A key diagnostic challenge is the resemblance of ECG manifestations of hypokalemia to ischemic heart disease, particularly myocardial infarction with nonobstructive coronary arteries. This overlap can complicate diagnosis, especially in patients presenting with chest pain. This case report describes a patient with severe hypokalemia whose ECG showed changes mimicking ischemic injury, including ST-segment depression, T-wave inversion, and atrial fibrillation. Despite initial concern for myocardial infarction, further evaluation—including normal troponin levels, echocardiographic findings, and selective coronary angiography—ruled out significant ischemia. The patient improved with potassium correction, and subsequent normalization of the ECG supported a diagnosis of hypokalemia-induced changes. This case underscores the importance of rapid potassium correction to prevent adverse cardiac outcomes and highlights the need for careful differential diagnosis when interpreting ECG findings in hypokalemia. (Iranian Heart Journal 2025; 26(4): 85-88)
کلیدواژه‌های انگلیسی مقاله Hypokalemia,ECG,Myocardial Infarction,Potassium correction,Electrocardiographic changes
نویسندگان مقاله Mahdieh Mehralipoor |
Imam Ali Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.

Asadollah Amiripour |
Cardiology Department, Imam Ali Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.

Amirmasoud Rahimi |
Imam Ali Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.

Mohammad Ruzbahani |
Imam Ali Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.

Mohammad Sobhan Amiripour |
Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.

نشانی اینترنتی https://journal.iha.org.ir/article_231002_8c7d0de53fb116dc233df96730d72929.pdf
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات