introduction: many of those who survive following an earthquake die in the next phase due to preventable and treatable medical conditions such as hyperkalemia. the present study aimed to evaluate the trend of potassium changes in crush syndrome patients of bam earthquake. methods: in this retrospective cross-sectional study, using the database of bam earthquake victims, which were developed by ...

INTRODUCTION Severe hyperkalemia, with potassium (K+) levels ≥ 6.5 mEq/L, is a potentially life-threatening electrolyte imbalance. For prompt and effective treatment, it is important to know its risk factors, clinical manifestations, and predictors of mortality. METHODS An observational cohort study was performed at 2 medical centers. A total of 923 consecutive Korean patients were analyzed. ...

While peaked T-waves have traditionally been associated with hyperkalemia cases, previous studies have called their reliability for hyperkalemia diagnosis into question. This study examined 89 ESRD patients totaling to 736 patient visits. Linear regressions and receiver operating characteristic (ROC) analyses were utilized to assess the reliability of peaked T-waves as a diagnostic criterion fo...

Patients with gastrointestinal bleeding often require large volume blood transfusion. Among the various side effects of blood transfusion, the increase of potassium levels is a serious one which is often overlooked. We report a case of severe hyperkalemia in a patient with gastric bleeding after large volume transfusion of packed red blood cells. The patient had hyperkalemia at baseline associa...

Hyperkalemia is a commonly encountered electrolyte abnormality that can significantly alter normal cardiac conduction. Potentially lethal dysrhythmias associated with hyperkalemia include complete heart block and Mobitz Type II second-degree AV block. We report a unique case of Mobitz Type 1 second-degree atrioventricular (AV) block, known commonly as Wenckebach, due to hyperkalemia. The patien...

BACKGROUND Although the methods for the appropriate management of patients with hyperkalemia are well established, no criteria for hospital admission of patients with this common electrolyte disorder have been promulgated. OBJECTIVES To examine the current practices regarding hospitalization of patients with hyperkalemia and to consider appropriate criteria for admission. PATIENTS AND METHO...

The trauma patient is exposed to physiologic processes and life-saving interventions that predispose to hyperkalemia. Severe elevations in potassium levels subject this compromised patient to additional cardiac risks in the periresuscitative period. Recent advances in the care of the massively traumatized patient may or may not increase the risk for hyperkalemia. This prospective, observational...

significant amount of T-wave changes from the baseline. An understandable shortcoming of this paper was the lack of a baseline ECG in the absence of hyperkalemia which could be used for comparison. This left the authors unable to determine if the effects on the ECG were from hyperkalemia or from intrinsic heart disease. Immediate short-term reversibility of ‘tented’ T-wave or other signs of hyp...

Hyperkalemia affects the myocardial tissue producing electrocardiographic abnormalities, such as prolongation of the P-R interval, tall peaked T waves, a reduction in the amplitude and an increase in the duration of P wave, and atrial and ventricular arrhythmias, including variable degree heart blocks. Elderly patients are particularly predisposed to developing hyperkalemia and the associated a...