Case report
Electrocardiographic changes simulating acute myocardial infarction caused by hyperkalemia: Report of a patient with normal coronary arteriograms

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Abstract

A patient is described with severe diabetic ketoacidosis and hyperkalemia who presented with an ECG resembling an acute anterior wall myocardial infarction. Treatment of hyperkalemia resulted in prompt return of the ECG towards normal. Subsequent work-up including exercise testing and selective coronary arteriography ruled out any significant coronary artery disease suggesting that the ECG changes were probably caused by hyperkalemia. While similar changes have rarely been described in the past, this would appear to be the first such case in whom coronary artery disease was ruled out by a negative exercise testing and coronary arteriography.

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Cited by (0)

Attending Physician, Division of Adult Cardiology and Director, Electrocardiography and Human Performance Laboratory, Cook County Hospital, Chicago, Ill.

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Fellow, Division of Adult Cardiology, Cook County Hospital, Chicago, Ill.

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Attending Physician, Division of Adult Cardiology and Director, Noninvasive Laboratory, Cook County Hospital, Chicago, Ill.

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Chairman, Division of Adult Cardiology, Cook County Hospital, Chicago, Ill.

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