Hypophosphatemia causing ST elevation in a critically ill noncardiac surgery postoperative patient.
Joey JunartaGregary D MarhefkaPublished in: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc (2022)
The patient is a 73-year-old female with peripheral vascular disease, coronary artery disease, and systemic lupus erythematosus, who underwent mesenteric artery bypass surgery. She suffered from a pneumonia after surgery, causing acute hypoxic respiratory failure and septic shock. Due to shock, she developed acute renal failure. She was intubated, ventilated, and received continuous veno-venous hemodialysis for renal failure. ST elevation was first observed on telemetry and subsequently confirmed on electrocardiogram. Marked ST elevation is present in the anterior leads with reciprocal ST depression in the inferior leads. A prolonged QT interval is also present. What is the most likely diagnosis?
Keyphrases
- respiratory failure
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- mechanical ventilation
- systemic lupus erythematosus
- minimally invasive
- septic shock
- coronary artery disease
- coronary artery bypass
- case report
- liver failure
- drug induced
- intensive care unit
- depressive symptoms
- patients undergoing
- surgical site infection
- chronic kidney disease
- percutaneous coronary intervention
- cardiovascular disease
- disease activity
- transcatheter aortic valve replacement
- aortic dissection
- acute coronary syndrome