Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report

BACKGROUND Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event. CASE PRESENTATION We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency room (ER) due to careful history taking, serum electrolytes and repeat EKG a correct diagnosis was made and both hyperkalemia and paralysis were treated on time. CONCLUSION Hyperkalaemic paralysis is rare. One must keep it in the back of the mind especially in the case of renal failure patients to avoid misdiagnosing a rapidly fatal but yet completely reversible condition.