Reports severe hyperkalemia presenting with minimal electrocardiogram changes during tumor lysis syndrome, highlighting risks of clinical under-management.
Hyperkalemia with normal or minimal electrocardiogram (ECG) changes is not commonly encountered. The 'milder' presentation may mask and hence lead to an under-management of a severe hyperkalemia. We discuss a case of severe hyperkalemia secondary to tumor lysis syndrome and its 'innocuous' ECG changes.
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Gude et al. (2013) studied this question.
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