Chandok Taruna, Lee Somin, Ali Nisha, Singh Amandeep, Cautha Sandhya
Internal Medicine, Bronx Care Health System, Bronx, USA.
Internal Medicine, BronxCare Hospital Center, Icahn School of Medicine at Mt. Sinai, New York City, USA.
Cureus. 2023 Mar 14;15(3):e36124. doi: 10.7759/cureus.36124. eCollection 2023 Mar.
Hyperkalemia is one of the most common electrolyte abnormalities seen in clinical practice and the most common life-threatening electrolyte abnormality seen in the emergency department. It is most often due to impaired renal potassium excretion due to acute on chronic kidney disease or the use of drugs that inhibit the renin-angiotensin-aldosterone axis. The most common clinical presentation is muscle weakness and cardiac conduction abnormalities. In the Emergency Department, ECG can come in handy as the first diagnosis of hyperkalemia before labs are drawn and reported. Early recognition of electrocardiographic (ECG) changes can prompt early correction and reduce mortality. We hereby, present a case of transient left bundle branch block in the setting of hyperkalemia secondary to statin-induced rhabdomyolysis.
高钾血症是临床实践中最常见的电解质异常之一，也是急诊科最常见的危及生命的电解质异常。它最常见的原因是慢性肾脏病急性加重导致肾钾排泄受损，或使用抑制肾素 - 血管紧张素 - 醛固酮轴的药物。最常见的临床表现是肌肉无力和心脏传导异常。在急诊科，在采集和报告实验室检查结果之前，心电图可作为高钾血症的首要诊断手段。早期识别心电图变化可促使早期纠正并降低死亡率。在此，我们报告一例继发于他汀类药物引起的横纹肌溶解症的高钾血症患者出现短暂性左束支传导阻滞的病例。
