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酷似左主干冠状动脉疾病经典心电图模式的严重低钾血症：一例报告及文献聚焦综述

Severe hypokalemia mimicking classical electrocardiographic pattern of left Main coronary artery disease: A case report and a focused review of the literature.

作者信息

Humberto Vásquez Lozano Sergio, Orlando Porras Bueno Cristian, Fernando Ruiz Hernández Gabriel, Lucero Olarte Jurado Mabel, Rueda Maria Paula Blanco

机构信息

Instituto Cardiovascular Fundación Cardiovascular de Colombia Floridablanca Santander Colombia.

Pontificia Universidad Javeriana Bogotá Cundinamarca Colombia.

出版信息

Clin Case Rep. 2024 Aug 27;12(9):e9367. doi: 10.1002/ccr3.9367. eCollection 2024 Sep.

DOI:10.1002/ccr3.9367
PMID:39206067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11348406/
Abstract

Several electrocardiographic alterations due to hypokalemia have been described, but the electrocardiographic presentation meeting criteria for occlusion of the left main coronary artery is very rare. We describe a case of hypokalemia simulating it.

摘要

已有文献描述了几种由低钾血症引起的心电图改变，但符合左主干冠状动脉闭塞标准的心电图表现非常罕见。我们描述了一例模拟这种情况的低钾血症病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf3/11348406/d1eb0cb52eac/CCR3-12-e9367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf3/11348406/1f8a4280a74e/CCR3-12-e9367-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf3/11348406/8b8601007071/CCR3-12-e9367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf3/11348406/d1eb0cb52eac/CCR3-12-e9367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf3/11348406/1f8a4280a74e/CCR3-12-e9367-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf3/11348406/8b8601007071/CCR3-12-e9367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf3/11348406/d1eb0cb52eac/CCR3-12-e9367-g003.jpg

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本文引用的文献

1
"Ion-Flux": The natural course of ECG changes in severe hypokalemia.“离子流”：重度低钾血症时心电图变化的自然病程。
Curr Probl Cardiol. 2024 Jan;49(1 Pt C):102158. doi: 10.1016/j.cpcardiol.2023.102158. Epub 2023 Oct 21.
2
Combining electrocardiographic criteria for predicting acute total left main coronary artery occlusion.联合心电图标准预测急性完全性左主干冠状动脉闭塞
Front Cardiovasc Med. 2022 Aug 11;9:936687. doi: 10.3389/fcvm.2022.936687. eCollection 2022.
3
ECG frequency changes in potassium disorders: a narrative review.
钾紊乱时的心电图频率变化：一项叙述性综述
Am J Cardiovasc Dis. 2022 Jun 15;12(3):112-124. eCollection 2022.
4
Hypokalemia-Induced Arrhythmia: A Case Series and Literature Review.低钾血症诱发的心律失常：病例系列报道及文献综述
Cureus. 2022 Mar 7;14(3):e22940. doi: 10.7759/cureus.22940. eCollection 2022 Mar.
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ECG changes of severe hypokalemia.严重低钾血症的心电图改变。
QJM. 2018 Aug 1;111(8):581-582. doi: 10.1093/qjmed/hcy046.
6
Electrocardiogram patterns in acute left main coronary artery occlusion.急性左主干冠状动脉闭塞时的心电图模式
J Electrocardiol. 2008 Nov-Dec;41(6):626-9. doi: 10.1016/j.jelectrocard.2008.06.020. Epub 2008 Sep 13.
7
[Electrocardiographic diagnosis of left main coronary artery obstruction using ST-segment and QRS-complex vector analysis].
Rev Esp Cardiol. 2008 Feb;61(2):137-45.