Gastroparesis electrocardiogram: Difference between revisions
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==Overview== | ==Overview== | ||
There are no [[The electrocardiogram|ECG]] findings associated with gastroparesis. In case of [[malnutrition]] and [[Electrolyte disturbance|electrolyte imbalance]], an [[The electrocardiogram|ECG]] may be helpful. [[Hypokalemia]] might present with [[Cardiac arrhythmia|arrhythmia]], [[ST segment depression]], low [[T wave]], prominent [[U waves]] and [[QRS complex|QRS]] prolongation. [[Hypocalcemia]] might present with [[QT prolongation|QT interval prolongation]]. | |||
==Electrocardiogram== | ==Electrocardiogram== | ||
* There are no ECG findings associated with gastroparesis. | *There are no [[The electrocardiogram|ECG]] findings associated with gastroparesis. | ||
* | *In case of [[malnutrition]] and [[Electrolyte disturbance|electrolyte imbalance]], an [[The electrocardiogram|ECG]] may be helpful.<ref name="pmid15261358">{{cite journal |vauthors=Diercks DB, Shumaik GM, Harrigan RA, Brady WJ, Chan TC |title=Electrocardiographic manifestations: electrolyte abnormalities |journal=J Emerg Med |volume=27 |issue=2 |pages=153–60 |year=2004 |pmid=15261358 |doi=10.1016/j.jemermed.2004.04.006 |url=}}</ref> | ||
*Findings on an [[The electrocardiogram|ECG]] suggestive of [[hypokalemia]] in a patient with gastroparesis include:<ref name="pmid22745618">{{cite journal |vauthors=Levis JT |title=ECG diagnosis: hypokalemia |journal=Perm J |volume=16 |issue=2 |pages=57 |year=2012 |pmid=22745618 |pmc=3383164 |doi= |url=}}</ref><ref name="pmid22413702">{{cite journal |vauthors=Pepin J, Shields C |title=Advances in diagnosis and management of hypokalemic and hyperkalemic emergencies |journal=Emerg Med Pract |volume=14 |issue=2 |pages=1–17; quiz 17–8 |year=2012 |pmid=22413702 |doi= |url=}}</ref><ref name="pmid21660912">{{cite journal |vauthors=El-Sherif N, Turitto G |title=Electrolyte disorders and arrhythmogenesis |journal=Cardiol J |volume=18 |issue=3 |pages=233–45 |year=2011 |pmid=21660912 |doi= |url=}}</ref> | |||
**[[ST segment depression]] | |||
**Low [[T wave]] | |||
**Prominent [[U waves]] | |||
**[[Prolongation of the QRS]] duration | |||
**Increase in the amplitude and duration of the [[P-wave]] | |||
**[[Cardiac arrhythmias]] and [[AV block]] | |||
**[[Ventricular ectopy]] | |||
[[image:LowKECG.png|thumb|700px|center|An ECG in a person with a potassium level of 1.1 showing the classical ECG changes of ST segment depression, inverted T waves, large U waves, and a slightly prolonged PR interval. By James Heilman, MD - Own work, CC BY-SA 3.0<ref name="File:LowKECG.JPG - Wikimedia Commons">{{cite web |url=https://commons.wikimedia.org/w/index.php?curid=12210926 |title=File:LowKECG.JPG - Wikimedia Commons |format= |work= |accessdate=}}</ref>]] | |||
<br style="clear:left" /> | |||
* Findings on an [[The electrocardiogram|ECG]] suggestive of [[hypocalcemia]] in a patient with gastroparesis include:<ref name="pmid22439169">{{cite journal |vauthors=Fong J, Khan A |title=Hypocalcemia: updates in diagnosis and management for primary care |journal=Can Fam Physician |volume=58 |issue=2 |pages=158–62 |year=2012 |pmid=22439169 |pmc=3279267 |doi= |url=}}</ref> | |||
** Narrow [[QRS complex]] | |||
** [[QT prolongation|Prolongation of the QT interval]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 21:01, 6 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
There are no ECG findings associated with gastroparesis. In case of malnutrition and electrolyte imbalance, an ECG may be helpful. Hypokalemia might present with arrhythmia, ST segment depression, low T wave, prominent U waves and QRS prolongation. Hypocalcemia might present with QT interval prolongation.
Electrocardiogram
- There are no ECG findings associated with gastroparesis.
- In case of malnutrition and electrolyte imbalance, an ECG may be helpful.[1]
- Findings on an ECG suggestive of hypokalemia in a patient with gastroparesis include:[2][3][4]
- ST segment depression
- Low T wave
- Prominent U waves
- Prolongation of the QRS duration
- Increase in the amplitude and duration of the P-wave
- Cardiac arrhythmias and AV block
- Ventricular ectopy
- Findings on an ECG suggestive of hypocalcemia in a patient with gastroparesis include:[6]
References
- ↑ Diercks DB, Shumaik GM, Harrigan RA, Brady WJ, Chan TC (2004). "Electrocardiographic manifestations: electrolyte abnormalities". J Emerg Med. 27 (2): 153–60. doi:10.1016/j.jemermed.2004.04.006. PMID 15261358.
- ↑ Levis JT (2012). "ECG diagnosis: hypokalemia". Perm J. 16 (2): 57. PMC 3383164. PMID 22745618.
- ↑ Pepin J, Shields C (2012). "Advances in diagnosis and management of hypokalemic and hyperkalemic emergencies". Emerg Med Pract. 14 (2): 1–17, quiz 17–8. PMID 22413702.
- ↑ El-Sherif N, Turitto G (2011). "Electrolyte disorders and arrhythmogenesis". Cardiol J. 18 (3): 233–45. PMID 21660912.
- ↑ "File:LowKECG.JPG - Wikimedia Commons". External link in
|title=(help) - ↑ Fong J, Khan A (2012). "Hypocalcemia: updates in diagnosis and management for primary care". Can Fam Physician. 58 (2): 158–62. PMC 3279267. PMID 22439169.