Open AccessHypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient
Author(s) -
Junarta Joey,
Marhefka Gregary D.
Publication year - 2022
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.12935
Subject(s) - medicine , septic shock , cardiology , hemodialysis , coronary artery disease , st elevation , sepsis , pneumonia , st depression , acute kidney injury , shock (circulatory) , critically ill , surgery , st segment , electrocardiography , myocardial infarction
The patient is a 73‐year‐old female with peripheral vascular disease, coronary artery disease, and systemic lupus erythematosus, who underwent mesenteric artery bypass surgery. She suffered from a pneumonia after surgery, causing acute hypoxic respiratory failure and septic shock. Due to shock, she developed acute renal failure. She was intubated, ventilated, and received continuous veno‐venous hemodialysis for renal failure. ST elevation was first observed on telemetry and subsequently confirmed on electrocardiogram. Marked ST elevation is present in the anterior leads with reciprocal ST depression in the inferior leads. A prolonged QT interval is also present. What is the most likely diagnosis?