ECG diagnosis: The effect of ionized serum calcium levels on electrocardiogram.

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Abstract

High and low levels of ionized serum calcium concentration can produce characteristic changes on the electrocardiogram. These changes are almost entirely limited to the duration of the ST segment, with no change in the QRS complexes or T waves. High ionized serum calcium shortens the ST segment, and low ionized serum calcium prolongs the ST segment. Two common clinical scenarios are presented.

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Journal

Journal ID (iso-abbrev): Perm J

Title: The Permanente journal

Publisher: The Permanente Press

ISSN (Electronic): 1552-5775

ISSN (Print): 1552-5767

Publication date (Electronic): 2014

Volume: 18

Issue: 1

Affiliations

[1 ] Chief Resident of Internal Medicine at Georgia Regents University: Medical College of Georgia in Augusta. jongardner@gru.edu.

[2 ] Clinical Associate Professor of Medicine in the Section of Cardiology at the Charlie Norwood VA Medical Center and Georgia Regents University: Medical College of Georgia in Augusta. joe.calkins2@va.gov.

[3 ] Clinical Professor of Medicine in the Section of Cardiology at the Charlie Norwood VA Medical Center and Georgia Regents University: Medical College of Georgia in Augusta. glen.garrison@va.gov.

Article

Publisher Item ID: 13-025

DOI: 10.7812/TPP/13-025

PMC ID: 3951043

PubMed ID: 24626084

SO-VID: 1c22189c-fbde-4748-a313-a2bef1affd55

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