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 CASE REPORT
Year : 2008  |  Volume : 18  |  Issue : 1  |  Page : 22-23

Hyperkalemia masking left ventricular hypertrophy in electrocardiogram in a patient with end-stage renal disease


Department of Nephrology, Sri Venkateswara Institute of Medical Sciences (SVIMS), Tirupati - 517 507, Andhra Pradesh, India

Correspondence Address:
V Siva Kumar
Department of Nephrology, SVIMS, Tirupati - 517 507, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.41284

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A patient of severe chronic renal failure presented with hyperkalemic electrocardiographic (ECG) changes and hyperkalemia.Following a session of hemodialysis, when he reverted to normokalemia, the repeat ECG revealed left ventricular hypertrophy (LVH). Thus we confronted with a situation of hyperkalemia, masking the LVH on ECG initially and when the hyperkalemia was corrected with dialysis the LVH showed in ECG. The plausible explanation for this electrophysiological behaviour was offered.






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Indian Journal of Nephrology
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Online since 20th Sept '07