Hypocalcemia electrocardiogram: Difference between revisions

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{{Hypocalcemia}}
{{Hypocalcemia}}
{{CMG}}
{{CMG}}; {{AE}} {{VKG}}
 
==Overview==
Altered levels of [[ionized]] serum [[calcium]] levels can produce typical changes on the [[electrocardiogram]](ECG). Duration of the [[ST segments|ST segment]] in the [[ECG]] is very specific in the patients with [[hypocalcemia]].


==Electrocardiogram==
==Electrocardiogram==
# Prolongation of the [[QTc interval]] is the major EKG finding
* Duration of the [[ST segment]] in the [[ECG]] is very specific in the patients with [[hypocalcemia]]<ref name="pmid24626084">{{cite journal |vauthors=Gardner JD, Calkins JB, Garrison GE |title=ECG diagnosis: The effect of ionized serum calcium levels on electrocardiogram |journal=Perm J |volume=18 |issue=1 |pages=e119–20 |date=2014 |pmid=24626084 |pmc=3951043 |doi=10.7812/TPP/13-025 |url=}}</ref><ref name="pmid453616">{{cite journal |vauthors=Scheidegger D, Drop LJ |title=The relationship between duration of Q-T interval and plasma ionized calcium concentration: experiments with acute, steady-state [Ca++] changes in the dog |journal=Anesthesiology |volume=51 |issue=2 |pages=143–8 |date=August 1979 |pmid=453616 |doi= |url=}}</ref><ref name="pmid660871">{{cite journal |vauthors=Rumancik WM, Denlinger JK, Nahrwold ML, Falk RB |title=The QT interval and serum ionized calcium |journal=JAMA |volume=240 |issue=4 |pages=366–8 |date=July 1978 |pmid=660871 |doi= |url=}}</ref>
# There is a lengthening of the interval between the end of the [[QRS]] and the beginning of the [[T wave]] (i.e. [[ST-segment]] lengthening).
** Shortening of the [[ST segments|ST segment]] with high levels of calcium 
** Prolongs of the [[ST interval|ST segment]] with low levels of calcium 
* Prolongation of the [[QTc interval]] is the major ECG finding
* There is a lengthening of the interval between the end of the [[QRS]] and the beginning of the [[T wave]] (i.e. [[ST-segment]] lengthening).
 
==References==
==References==
{{Reflist|2}}


{{Reflist|2}}
[[Category:Disease]]
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Nephrology]]
[[Category:Nephrology]]
[[Category:Emergency medicine]]
[[Category:Needs overview]]
[[Category:Blood tests]]
[[Category:Needs content]]
 
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Latest revision as of 20:13, 2 July 2018

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

Overview

Altered levels of ionized serum calcium levels can produce typical changes on the electrocardiogram(ECG). Duration of the ST segment in the ECG is very specific in the patients with hypocalcemia.

Electrocardiogram

References

  1. Gardner JD, Calkins JB, Garrison GE (2014). "ECG diagnosis: The effect of ionized serum calcium levels on electrocardiogram". Perm J. 18 (1): e119–20. doi:10.7812/TPP/13-025. PMC 3951043. PMID 24626084.
  2. Scheidegger D, Drop LJ (August 1979). "The relationship between duration of Q-T interval and plasma ionized calcium concentration: experiments with acute, steady-state [Ca++] changes in the dog". Anesthesiology. 51 (2): 143–8. PMID 453616.
  3. Rumancik WM, Denlinger JK, Nahrwold ML, Falk RB (July 1978). "The QT interval and serum ionized calcium". JAMA. 240 (4): 366–8. PMID 660871.

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