Hyperkalemia masking left ventricular hypertrophy in electrocardiogram in a patient with end-stage renal disease | Zendy

VSiva Kumar | Zendy; VV Sai Naresh | Zendy; V. Ramakrishna | Zendy; P Ramakrishna | Zendy

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Hyperkalemia masking left ventricular hypertrophy in electrocardiogram in a patient with end-stage renal disease

Author(s) -

VSiva Kumar,

VV Sai Naresh,

V. Ramakrishna,

P Ramakrishna

Publication year - 2008

Publication title -

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.

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