Ishikawa K, Tateno M
J Electrocardiol. 1976;9(1):75-9. doi: 10.1016/s0022-0736(76)80014-3.
A case of profound hypochloremic alkalosis with hypopotassemia is reported, showing electrocardiographic changes of electrical alternans of the repolarization wave (probably the U wave) without any change in the QRS complex. Transient concomitant P-pulmonale was noted. Hypopotassemia is discussed as a possible mechanism for the development of the electrical alternans.
报告了一例伴有低钾血症的严重低氯性碱中毒病例,其心电图显示复极波(可能是U波)电交替变化,而QRS波群无任何改变。同时还注意到短暂的肺型P波。低钾血症被认为是电交替发生的一种可能机制。