Electrocardiographic manifestations: Electrolyte abnormalities

Deborah B. Diercks, George M. Shumaik, Richard A. Harrigan, William J. Brady, Theodore C. Chan

Research output: Contribution to journalArticle

111 Scopus citations

Abstract

Because myocyte depolarization and repolarization depend on intra- and extracellular shifts in ion gradients, abnormal serum electrolyte levels can have profound effects on cardiac conduction and the electrocardiogram (EKG). Changes in extracellular potassium, calcium, and magnesium levels can change myocyte membrane potential gradients and alter the cardiac action potential. These changes can result in incidental findings on the 12-lead EKG or precipitate potentially life-threatening dysrhythmias. We will review the major electrocardiographic findings associated with abnormalities of the major cationic contributors to cardiac conduction - potassium, calcium and magnesium.

Original languageEnglish (US)
Pages (from-to)153-160
Number of pages8
JournalJournal of Emergency Medicine
Volume27
Issue number2
DOIs
StatePublished - Aug 2004

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Keywords

  • calcium
  • cardiac conduction
  • cations
  • dysrhythmias
  • EKG
  • electrocardiogram
  • electrolyte abnormality
  • magnesium
  • potassium

ASJC Scopus subject areas

  • Emergency Medicine

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