Severe hypocalcemia mimicking acute inferior ST-segment elevation myocardial infarction.
Muhammad Y AdeelJohn-Ross David ClarkeSafal ShettyAshish AroraMichael G BuscherPublished in: Oxford medical case reports (2018)
We report the case of a 52-year-old gentleman, admitted to the medical intensive care unit with multiple organ system dysfunction due to acute severe pancreatitis. He was found to have severe hypocalcemia, bradycardia and an electrocardiogram (EKG) showing ST-segment elevation in infero-lateral leads. The patient was treated with intravenous calcium gluconate with prompt improvement of heart rate and reversal of EKG changes. Subsequent evaluation for myocardial ischemia was negative. We believe the EKG changes mimicking acute ST-segment elevation myocardial infarction were due to severe hypocalcemia. To our knowledge this is very rare occurrence.
Keyphrases
- st segment elevation myocardial infarction
- percutaneous coronary intervention
- heart rate
- drug induced
- liver failure
- intensive care unit
- early onset
- respiratory failure
- heart rate variability
- blood pressure
- coronary artery disease
- acute coronary syndrome
- hepatitis b virus
- risk assessment
- case report
- mechanical ventilation
- acute respiratory distress syndrome
- clinical evaluation