Open AccessHyperkalemia masking left ventricular hypertrophy in electrocardiogram in a patient with end-stage renal disease
Author(s) -
V. Naresh,
Vikas Singarajipura Ramakrishna,
Pinjala Ramakrishna,
V Siva Kumar
Publication year - 2008
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.41284
Subject(s) - hyperkalemia , medicine , left ventricular hypertrophy , cardiology , hemodialysis , dialysis , masking (illustration) , end stage renal disease , blood pressure , art , visual arts
A patient of severe chronic renal failure presented with hyperkalemic electrocardiographic (ECG) changes and hyperkalemia. Following a session of hemodialysis, when he reverted to normokalemia, the repeat ECG revealed left ventricular hypertrophy (LVH). Thus we confronted with a situation of hyperkalemia, masking the LVH on ECG initially and when the hyperkalemia was corrected with dialysis the LVH showed in ECG. The plausible explanation for this electrophysiological behaviour was offered.