Zmiany w EKG o charakterze przerostu lewej komory z zaburzeniami repolaryzacji – możliwe trudności diagnostyczne na podstawie opisu przypadku

Abstract

Electrocardiographic changes of the nature of left ventricular hypertrophy with repolarization abnormalities may cause some diagnostic difficulties in the outpatient setting resulting from the etiology of changes. Chronic kidney disease (CKD) is a global public health problem that shortens lifespan, primarily by increasing risk of cardiovascular disease. Left ventricular hypertrophy (LVH) is a common pattern of cardiovascular injury in CKD that affects up to 75% of individuals by the time they reach end-stage renal disease. By promoting heart failure and atrial and ventricular arrhythmias, LVH is a powerful risk factor for cardiovascular events and death. The complex pathogenesis of LVH involves ventricular pressure and volume overload and the electrocardiographic record alone may sometimes suggest suspicion of an acute coronary syndrome. In this paper, we describe the case of a 39-year-old patient who was referred to the Cardiology Clinic with a preliminary diagnosis of „infarctus myocardia in evolution”, however, the final diagnosis was chronic kidney disease in stage 5 on a base of hypertensive nephropathy (not biopsy proven).