Madias J E, Madias N E
Department of Medicine, Mount Sinai School of Medicine, City University of New York.
J Electrocardiol. 1989 Jan;22(1):93-7. doi: 10.1016/0022-0736(89)90027-7.
A pseudo-infarctional ECG pattern, previously noted to occur rarely in association with hyperkalemia, was observed in a patient with severe hypokalemia in the course of K+ replacement but while she was still hypokalemic. It is inferred that this puzzling ECG feature reflected a reduction of intracellular/extracellular [K+] ratio in a patient with decreased intracellular K+ concentration undergoing rapid K+ repletion.
在一名严重低钾血症患者补钾过程中，且患者仍处于低钾状态时，观察到一种假性梗死样心电图模式，此前已知这种情况很少与高钾血症相关。据推测，这种令人困惑的心电图特征反映了在细胞内钾浓度降低的患者快速补钾过程中细胞内/细胞外[K+]比值的降低。
