Key result
Severe hypocalcemia and hypokalemia from delayed-onset hypoparathyroidism trigger pseudo-infarction ST-elevation on ECG.
Why the study?
Pseudo-infarction electrocardiographic changes associated with hypokalemia and hypocalcemia are rare and not well characterized in delayed onset hypoparathyroidism.
Case Report (n=1)
Hypokalemia and hypocalcemia from delayed onset hypoparathyroidism can present with pseudo-infarction ST-elevation on ECG, mimicking acute myocardial infarction.
Pseudo-infarction electrocardiographic changes associated with hypokalemia and hypocalcemia is rare. A 76-year-old lady with previous total thyroidectomy presented with unspecific symptoms. Electrocardiogram demonstrated ST-elevation. She was found to have hypokalemia and hypocalcemia associated with delayed onset hypoparathyroidism. This may suggest possible etiologies like coronary vasospasm and catecholamine-associated myocardial injury.
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Chow et al. (2023) conducted a case report in Delayed onset hypoparathyroidism with hypokalemia and hypocalcemia (n=1). Hypokalemia and hypocalcemia associated with delayed onset hypoparathyroidism was evaluated on Pseudo-infarction electrocardiographic changes (ST-elevation). A 76-year-old woman with delayed onset hypoparathyroidism presented with hypokalemia, hypocalcemia, and pseudo-infarction ST-elevation on electrocardiogram.
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