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Source: JAMA Internal Medicine
Drug: Insulin
Procedure: Electrocardiogram
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ST Elevations in the Setting of Hyperkalemia
A woman in her 50s with a history of hypertension, hyperlipidemia, diabetes, neuropathy, smoking, asthma, and previous stroke presented with altered mental status and respiratory distress necessitating intubation in the field. An electrocardiogram (ECG) was recorded on presentation (Figure 1). On arrival, she was found to have 1 episode of nonsustained ventricular tachycardia but otherwise remained in normal sinus rhythm. Home medications included lisinopril, amitriptyline hydrochloride, and insulin. On physical examination, she was nonresponsive, with blood pressure of 113/70 mm Hg and pulse of 59 beats per minute with 10...
Source: JAMA Internal Medicine - November 13, 2017 Category: Internal Medicine Source Type: research
