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

doi:10.5455/IJMRCR.ecg-potassium-correction-hypokalemia

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Original Article

Online Publishing Date:
26 / 08 / 2019

Int J Med Rev Case Rep. 2019; 3(11): 711-716

doi: 10.5455/IJMRCR.ecg-potassium-correction-hypokalemia

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.

Cited By:2

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

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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. https://www.mdpub.net/?mno=51785 [Access: April 04, 2024]. 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 April 04, 2024]; 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

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