Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report-Reference-Cited by-同舟云学术

Pseudo‐infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report

Published:2023-06 Issue:6 Volume:11 Page:
ISSN:2050-0904
Container-title:Clinical Case Reports
language:en
Short-container-title:Clinical Case Reports

Author:

Chow Han Bing¹²^ORCID,Lim Caryn Tsujean²^ORCID,Ho Yik Hon²^ORCID,Cham Yee Ling²,Fong Alan Yean Yip²,Said Asri¹²^ORCID,Ong Tiong Kiam²

Affiliation:

1. Department of Medicine, Faculty of Medicine and Health Sciences University of Malaysia Sarawak Kota Samarahan Malaysia

2. Department of Cardiology Sarawak Heart Center Kota Samarahan Malaysia

Abstract

Key Clinical MessageThe high‐risk “Shark Fin” electrocardiogram (ECG) pattern has been associated with transmural ischemia but can also result from electrolyte anomalies. Therefore, the decision for invasive coronary catheterization requires a detailed history and dedicated biochemical tests.AbstractPseudo‐infarction ECG pattern resembling “Shark Fin” was demonstrated in a 76‐year‐old lady with a previous total thyroidectomy who presented with unspecific symptoms. An incidental finding of hypokalemia and hypocalcemia was thought to be related to delayed onset hypoparathyroidism. Potential etiologies like coronary vasospasm and catecholamine‐associated myocardial injury were suggested.

Funder

Universiti Malaysia Sarawak

Publisher

Wiley

Subject

General Medicine

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ccr3.7580

Reference10 articles.

1. ST-segment elevation: Differential diagnosis, caveats

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

3. ECG Changes in a 25-Year-Old Woman With Hypocalcemia Due to Hypoparathyroidism

4. Profound hypokalaemia mimicking acute myocardial infarction

5. Delayed Post-Surgical Hypoparathyroidism: The Forgotten Chameleon!