Open AccessSevere hypocalcemia mimicking ST ‐segment elevation acute myocardial infarction
Author(s) -
Kukla Piotr,
Kulik Monika,
Jastrzębski Marek,
Bryniarski Leszek,
Czarnecka Danuta,
Baranchuk Adrian
Publication year - 2017
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12401
Subject(s) - medicine , cardiology , st segment , hypoalbuminemia , st elevation , myocardial infarction , qt interval , electrocardiography , sepsis , differential diagnosis , pathology
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.