Hyperosmolar hyperglycemic state electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Husnain Shaukat, M.D [2]

Overview

Patients suffering from the hyperosmolar hyperglycemic state may exhibit electrocardiographic (EKG) changes characteristic of toxic hyperkalemia. Common abnormalities observed on EKG include tall peaking T waves, prolonged QT interval, and widening of QRS complex.

Electrocardiogram

References

  1. "Hypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf".
  2. "ST-Segment Elevation Resulting From Hyperkalemia | Circulation".
  3. Süfke S, Djonlagić H, Kibbel T (2010). "[Impairment of cardiac autonomic nervous system and incidence of arrhythmias in severe hyperglycemia]". Med. Klin. (Munich) (in German). 105 (12): 858–70. doi:10.1007/s00063-010-1150-3. PMID 21240584.
  4. Petrov D, Petrov M (2008). "Widening of the QRS complex due to severe hyperkalemia as an acute complication of diabetic ketoacidosis". J Emerg Med. 34 (4): 459–61. doi:10.1016/j.jemermed.2007.05.031. PMID 18455060.

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