Severe hypocalcemia mimicking acute inferior ST-segment elevation myocardial infarction

Authors

Muhammad Y. Adeel, Department of Internal Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, USA.Follow
John-Ross D. Clarke, Department of Internal Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, USA.
Safal Shetty, Departments of Emergency Medicine & Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, USA.
Ashish Arora, Departments of Emergency Medicine & Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, USA.Follow
Michael G. Buscher, Departments of Emergency Medicine & Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, USA.Follow

Document Type

Article

Publication Title

Oxford medical case reports

Abstract

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.

First Page

omy103

DOI

10.1093/omcr/omy103

Publication Date

12-1-2018

Recommended Citation

Adeel, Muhammad Y.; Clarke, John-Ross D.; Shetty, Safal; Arora, Ashish; and Buscher, Michael G., "Severe hypocalcemia mimicking acute inferior ST-segment elevation myocardial infarction" (2018). All Research. 202.
https://scholar.bridgeporthospital.org/all_research/202

Identifier

30487989 (pubmed); PMC6247139 (pmc); 10.1093/omcr/omy103 (doi); omy103 (pii)