Hyperosmolar hyperglycemic state electrocardiogram
|
Hyperosmolar hyperglycemic state Microchapters |
|
Differentiating Hyperosmolar hyperglycemic state from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Hyperosmolar hyperglycemic state electrocardiogram On the Web |
|
American Roentgen Ray Society Images of Hyperosmolar hyperglycemic state electrocardiogram |
|
Hyperosmolar hyperglycemic state electrocardiogram in the news |
|
Risk calculators and risk factors for Hyperosmolar hyperglycemic state electrocardiogram |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Husnain Shaukat, M.D [2]
Overview
Patients suffering from the hyperosmolar hyperglycemic state may exhibit electrocardiographic (EKG) changes characteristic of toxic hyperkalemia. Common abnormalities observed on EKG include tall peaking T waves, prolonged QT interval, and widening of QRS complex.
Electrocardiogram
- Nonspecific ECG changes including sinus tachycardia, st segment changes, and changes in heart rate variability; which can be seen in long-standing diabetes mellitus may also be present during an episode of hyperosmolar hyperglycemic state.
- ECG findings associated with hyperkalemia seen during hyperosmolar hyperglycemic state include:[1][2][3][4]
- Tall peaking T waves
- Prolonged QT interval
- Widening of QRS complex
- Prolongation of the ST interval
References
- ↑ "Hypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf".
- ↑ "ST-Segment Elevation Resulting From Hyperkalemia | Circulation".
- ↑ Süfke S, Djonlagić H, Kibbel T (2010). "[Impairment of cardiac autonomic nervous system and incidence of arrhythmias in severe hyperglycemia]". Med. Klin. (Munich) (in German). 105 (12): 858–70. doi:10.1007/s00063-010-1150-3. PMID 21240584.
- ↑ Petrov D, Petrov M (2008). "Widening of the QRS complex due to severe hyperkalemia as an acute complication of diabetic ketoacidosis". J Emerg Med. 34 (4): 459–61. doi:10.1016/j.jemermed.2007.05.031. PMID 18455060.