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Severe hypocalcemia mimicking acute inferior ST-segment elevation myocardial infarction.

A new interesting article has been published in Oxf Med Case Reports. 2018 Nov 21;2018(12):omy103. doi: 10.1093/omcr/omy103. eCollection 2018 Dec. and titled:

Severe hypocalcemia mimicking acute inferior ST-segment elevation myocardial infarction.

Authors of this article are:

Adeel MY, Clarke JD, Shetty S, Arora A, Buscher MG.

A summary of the article is shown below:

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.

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