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Case Reports
. 2014 Jul-Sep;10(3):193-7.
doi: 10.14797/mdcj-10-3-193.

Case report: Severe hypercalcemia mimicking ST-segment elevation myocardial infarction

Robert C Schutt  1 , John Bibawy  1 , Mina Elnemr  1 , Amy L Lehnert  2 , David Putney  1 , Anusha S Thomas  3 , Colin M Barker  4 , Craig M Pratt  4
Affiliations
Case Reports

Case report: Severe hypercalcemia mimicking ST-segment elevation myocardial infarction

Robert C Schutt et al. Methodist Debakey Cardiovasc J. 2014 Jul-Sep.

Abstract

The identification of ST-segment elevation on the electrocardiogram is an integral part of decision making in patients who present with suspected ischemia. Unfortunately, ST-segment elevation is nonspecific and may be caused by noncardiac causes such as electrolyte abnormalities. We present a case of ST-segment elevation secondary to hypercalcemia in a patient with metastatic cancer.

Keywords: STEMI; electrocardiogram; hypercalcemia.

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Figures

None
R. C. Schutt, M.D., M.S.
Figure 1.
Figure 1.
Presenting electrocardiogram (A) demonstrating new ST-segment elevation in V1–V3 compared with prior ECG (B) obtained 4 months prior.
Figure 2.
Figure 2.
Lead V1 morphology by ionized calcium level demonstrating resolving elevation of the ST segment and reduction in voltage with improvement in the plasma ionized calcium level.
See this image and copyright information in PMC

References

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