Syndrome of inappropriate antidiuretic hormone electrocardiogram
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Electrocardiogram (EKG) may be helpful in the diagnosis of SIADH. Findings on an EKG suggestive of SIADH are like classic Brugada like pattern, include downward coving of ST-segment and T-wave inversion in the anterior precordial leads. The EKG changes will be normalized after the sodium levels were corrected.
Electrocardiogram
- EKG may be helpful in the diagnosis of SIADH.
- Findings on an EKG suggestive of SIADH are like classic Brugada like pattern, which include:[1][2][3]
- Downward coving of ST-segment in the anterior precordial leads
- T-wave inversion in the anterior Precordial leads
- The EKG changes will be normalized after the sodium levels were corrected.[1]
References
- ↑ 1.0 1.1 Tamene A, Sattiraju S, Wang K, Benditt DG (2010). “Brugada-like electrocardiography pattern induced by severe hyponatraemia”. Europace. 12 (6): 905–7. doi:10.1093/europace/euq034. PMID 20185483.
- ↑ Laville M, Burst V, Peri A, Verbalis JG (2013). “Hyponatremia secondary to the syndrome of inappropriate secretion of antidiuretic hormone (SIADH): therapeutic decision-making in real-life cases”. Clin Kidney J. 6 (Suppl 1): i1–i20. doi:10.1093/ckj/sft113. PMC 4438352. PMID 26069838.
- ↑ Agrawal Y, Aggarwal S, Kalavakunta JK, Gupta V (2016). “All that looks like “Brugada” is not “Brugada”: Case series of Brugada phenocopy caused by hyponatremia”. J Saudi Heart Assoc. 28 (4): 274–7. doi:10.1016/j.jsha.2016.02.003. PMC 5034561. PMID 27688678.
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