E-ISSN 2534-9821
 

Original Research (Original Article) 


Electrocardiogram pattern pre and post potassium correction in hypokalemia

Nur Rahmah Musa , Pendrik Tandean, Idar Mappangara, Andi Makbul Aman, Haerani Rasyid, Hasyim Kasim, Syakib Bakri, Arifin Seweng.

Abstract
Background: Hypokalemia with ECG changes is very hazardous; therefore, it is important to correct hypokalemia to avoid life-threatening cardiovascular complications.
Objective: To know ECG pattern pre and post potassium correction in patients with hypokalemia.
Methods and results: A prospective study with longitudinal observational design in hospitalized hypokalemic patients who received intravenous potassium correction at Dr. Wahidin Sudirohusodo Hospital, Makassar during February - May 2018. ECG changes are determined based on ECG examination. Potassium correction is given based on potassium deficit formula. Data analysis used SPSS version 22 with McNemar and Chi Square statistical test. Study included 80 subjects consisting of 26 males and 54 females, mean age of 48,8 16 years, 53,8% of moderate and 38,8% of severe hypokalemia, 85% having ECG changes. The ECG patterns were long QT (30%), prominent U (30%), T-inverted (21,2%), ST depression (15%), T-flat (10%), VES (6,3%), SVT (3,8%), first degree AVB (3,8%), and AF (2,5%). Significant improvement found in long QT and prominent U post correction (p<0.05). Decrease of post correction potassium levels, found 100% of prominent U and 75% of long QT became normal.
Conclusion: The ECG patterns in hypokalemia are mostly long QT and prominent U. Potassium correction may provide an improvement in ECG patterns even if potassium levels still below the normal range.

Key words: ECG, hypokalemia, arrhythmia, long QT, prominent U


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Nur Rahmah Musa
Articles by Pendrik Tandean
Articles by Idar Mappangara
Articles by Andi Makbul Aman
Articles by Haerani Rasyid
Articles by Hasyim Kasim
Articles by Syakib Bakri
Articles by Arifin Seweng
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

NRM, Tandean P, Mappangara I, Aman AM, Rasyid H, Kasim H, Bakri S, Seweng A, . Electrocardiogram pattern pre and post potassium correction in hypokalemia. Int J Med Rev Case Rep. 2019; 3(11): 711-716. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia


Web Style

NRM, Tandean P, Mappangara I, Aman AM, Rasyid H, Kasim H, Bakri S, Seweng A, . Electrocardiogram pattern pre and post potassium correction in hypokalemia. http://www.mdpub.net/?mno=51785 [Access: July 15, 2020]. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia


AMA (American Medical Association) Style

NRM, Tandean P, Mappangara I, Aman AM, Rasyid H, Kasim H, Bakri S, Seweng A, . Electrocardiogram pattern pre and post potassium correction in hypokalemia. Int J Med Rev Case Rep. 2019; 3(11): 711-716. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia



Vancouver/ICMJE Style

NRM, Tandean P, Mappangara I, Aman AM, Rasyid H, Kasim H, Bakri S, Seweng A, . Electrocardiogram pattern pre and post potassium correction in hypokalemia. Int J Med Rev Case Rep. (2019), [cited July 15, 2020]; 3(11): 711-716. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia



Harvard Style

, N. R. M. . ., Tandean, P., Mappangara, I., Aman, A. M., Rasyid, H., Kasim, H., Bakri, S., Seweng, A. & (2019) Electrocardiogram pattern pre and post potassium correction in hypokalemia. Int J Med Rev Case Rep, 3 (11), 711-716. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia



Turabian Style

, Nur Rahmah Musa , Pendrik Tandean, Idar Mappangara, Andi Makbul Aman, Haerani Rasyid, Hasyim Kasim, Syakib Bakri, Arifin Seweng, and . 2019. Electrocardiogram pattern pre and post potassium correction in hypokalemia. International Journal of Medical Reviews and Case Reports, 3 (11), 711-716. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia



Chicago Style

, Nur Rahmah Musa , Pendrik Tandean, Idar Mappangara, Andi Makbul Aman, Haerani Rasyid, Hasyim Kasim, Syakib Bakri, Arifin Seweng, and . "Electrocardiogram pattern pre and post potassium correction in hypokalemia." International Journal of Medical Reviews and Case Reports 3 (2019), 711-716. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia



MLA (The Modern Language Association) Style

, Nur Rahmah Musa , Pendrik Tandean, Idar Mappangara, Andi Makbul Aman, Haerani Rasyid, Hasyim Kasim, Syakib Bakri, Arifin Seweng, and . "Electrocardiogram pattern pre and post potassium correction in hypokalemia." International Journal of Medical Reviews and Case Reports 3.11 (2019), 711-716. Print. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia



APA (American Psychological Association) Style

, N. R. M. . ., Tandean, P., Mappangara, I., Aman, A. M., Rasyid, H., Kasim, H., Bakri, S., Seweng, A. & (2019) Electrocardiogram pattern pre and post potassium correction in hypokalemia. International Journal of Medical Reviews and Case Reports, 3 (11), 711-716. doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia