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Hyperkalemia and cocaine induced dynamic Brugada-type electrocardiogram
European Journal of Emergency Medicine, 09/04/09
Irani F et al. – The authors describe a 46–year–old individual, who presented with hyperkalemia secondary to muscle damage and renal insufficiency, after abusing cocaine. The electrocardiogram showed Brugada sign. The electrocardiogram changes disappeared after sodium bicarbonate administration and normalization of serum potassium. The case highlights the importance of recognizing cocaine and hyperkalemia, as potential triggers of the acquired Brugada sign.
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