Hyperosmolar hyperglycemic state electrocardiogram: Difference between revisions
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Created page with "__NOTOC__ {{Hyperosmolar hyperglycemic state}} {{CMG}}; {{AE}} ==Overview== There are no ECG findings associated with [disease name]. OR An ECG may be helpful in the diagn..." |
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{{Hyperosmolar hyperglycemic state}} | {{Hyperosmolar hyperglycemic state}} | ||
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==Overview== | ==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== | ==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:<ref name="urlHypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK279022/ |title=Hypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf |format= |work= |accessdate=}}</ref><ref name="urlST-Segment Elevation Resulting From Hyperkalemia | Circulation">{{cite web |url=https://doi.org/10.1161/01.CIR.0000165127.41028.D1 |title=ST-Segment Elevation Resulting From Hyperkalemia | Circulation |format= |work= |accessdate=}}</ref><ref name="pmid21240584">{{cite journal |vauthors=Süfke S, Djonlagić H, Kibbel T |title=[Impairment of cardiac autonomic nervous system and incidence of arrhythmias in severe hyperglycemia] |language=German |journal=Med. Klin. (Munich) |volume=105 |issue=12 |pages=858–70 |year=2010 |pmid=21240584 |doi=10.1007/s00063-010-1150-3 |url=}}</ref><ref name="pmid18455060">{{cite journal |vauthors=Petrov D, Petrov M |title=Widening of the QRS complex due to severe hyperkalemia as an acute complication of diabetic ketoacidosis |journal=J Emerg Med |volume=34 |issue=4 |pages=459–61 |year=2008 |pmid=18455060 |doi=10.1016/j.jemermed.2007.05.031 |url=}}</ref> | |||
* | ** Tall peaking [[T waves]] | ||
**[ | ** [[Prolonged QT interval]] | ||
**[ | ** [[Wide QRS complex|Widening of QRS complex]] | ||
**[ | ** Prolongation of the [[ST interval]] | ||
==References== | ==References== | ||
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Latest revision as of 17:42, 17 October 2017
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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.