Diabetic ketoacidosis electrocardiogram: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Diabetic ketoacidosis}} | {{Diabetic ketoacidosis}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{HK}} | ||
==Overview== | ==Overview== | ||
Patients suffering from diabetic ketoacidosis (DKA) may exhibit electrocardiographic (EKG) changes characteristic of toxic [[hyperkalemia]] and [[hypocalcemia]]. Common abnormalities observed on EKG include tall peaking [[T wave|T waves]], prolonged [[QT interval]] and widening of [[QRS complex]]. | |||
==Electrocardiogram== | ==Electrocardiogram== | ||
*Electrocardiogram (ECG or EKG) abnormalities characteristic of toxic hyperkalemia and hypocalcemia.<ref name="urlDiabetes Care">{{cite web |url=https://doi.org/10.2337/diacare.3.4.543 |title=Diabetes Care |format= |work= |accessdate=}}</ref> | *Electrocardiogram (ECG or EKG) abnormalities characteristic of toxic [[hyperkalemia]] and [[hypocalcemia]].<ref name="urlDiabetes Care">{{cite web |url=https://doi.org/10.2337/diacare.3.4.543 |title=Diabetes Care |format= |work= |accessdate=}}</ref> | ||
*The following EKG findings may be observed in DKA:<ref name="urlHypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK279022/ |title=Hypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf |format= |work= |accessdate=}}</ref><ref name="urlST-Segment Elevation Resulting From Hyperkalemia | Circulation">{{cite web |url=https://doi.org/10.1161/01.CIR.0000165127.41028.D1 |title=ST-Segment Elevation Resulting From Hyperkalemia | Circulation |format= |work= |accessdate=}}</ref><ref name="pmid21240584">{{cite journal |vauthors=Süfke S, Djonlagić H, Kibbel T |title=[Impairment of cardiac autonomic nervous system and incidence of arrhythmias in severe hyperglycemia] |language=German |journal=Med. Klin. (Munich) |volume=105 |issue=12 |pages=858–70 |year=2010 |pmid=21240584 |doi=10.1007/s00063-010-1150-3 |url=}}</ref><ref name="pmid18455060">{{cite journal |vauthors=Petrov D, Petrov M |title=Widening of the QRS complex due to severe hyperkalemia as an acute complication of diabetic ketoacidosis |journal=J Emerg Med |volume=34 |issue=4 |pages=459–61 |year=2008 |pmid=18455060 |doi=10.1016/j.jemermed.2007.05.031 |url=}}</ref> | *The following EKG findings may be observed in diabetic ketoacidosis (DKA):<ref name="urlHypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK279022/ |title=Hypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf |format= |work= |accessdate=}}</ref><ref name="urlST-Segment Elevation Resulting From Hyperkalemia | Circulation">{{cite web |url=https://doi.org/10.1161/01.CIR.0000165127.41028.D1 |title=ST-Segment Elevation Resulting From Hyperkalemia | Circulation |format= |work= |accessdate=}}</ref><ref name="pmid21240584">{{cite journal |vauthors=Süfke S, Djonlagić H, Kibbel T |title=[Impairment of cardiac autonomic nervous system and incidence of arrhythmias in severe hyperglycemia] |language=German |journal=Med. Klin. (Munich) |volume=105 |issue=12 |pages=858–70 |year=2010 |pmid=21240584 |doi=10.1007/s00063-010-1150-3 |url=}}</ref><ref name="pmid18455060">{{cite journal |vauthors=Petrov D, Petrov M |title=Widening of the QRS complex due to severe hyperkalemia as an acute complication of diabetic ketoacidosis |journal=J Emerg Med |volume=34 |issue=4 |pages=459–61 |year=2008 |pmid=18455060 |doi=10.1016/j.jemermed.2007.05.031 |url=}}</ref> | ||
** Tall peaking T waves | ** Tall peaking [[T waves]] | ||
** Prolonged QT interval | ** Prolonged [[QT interval]] | ||
** Widening of QRS complex | ** Widening of [[QRS complex]] | ||
** Prolongation of the [[ST interval]] | |||
** Prolongation of the ST interval | ** [[ST segment elevation]] | ||
** ST segment elevation | |||
==References== | ==References== | ||
Latest revision as of 14:06, 6 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
Patients suffering from diabetic ketoacidosis (DKA) may exhibit electrocardiographic (EKG) changes characteristic of toxic hyperkalemia and hypocalcemia. Common abnormalities observed on EKG include tall peaking T waves, prolonged QT interval and widening of QRS complex.
Electrocardiogram
- Electrocardiogram (ECG or EKG) abnormalities characteristic of toxic hyperkalemia and hypocalcemia.[1]
- The following EKG findings may be observed in diabetic ketoacidosis (DKA):[2][3][4][5]
- Tall peaking T waves
- Prolonged QT interval
- Widening of QRS complex
- Prolongation of the ST interval
- ST segment elevation
References
- ↑ "Diabetes Care".
- ↑ "Hypocalcemia: Diagnosis and Treatment - Endotext - NCBI Bookshelf".
- ↑ "ST-Segment Elevation Resulting From Hyperkalemia | Circulation".
- ↑ Süfke S, Djonlagić H, Kibbel T (2010). "[Impairment of cardiac autonomic nervous system and incidence of arrhythmias in severe hyperglycemia]". Med. Klin. (Munich) (in German). 105 (12): 858–70. doi:10.1007/s00063-010-1150-3. PMID 21240584.
- ↑ Petrov D, Petrov M (2008). "Widening of the QRS complex due to severe hyperkalemia as an acute complication of diabetic ketoacidosis". J Emerg Med. 34 (4): 459–61. doi:10.1016/j.jemermed.2007.05.031. PMID 18455060.