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Acute Fluoride Poisoning Leading to Fatal Hyperkalemia

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Presentation on theme: "Acute Fluoride Poisoning Leading to Fatal Hyperkalemia"— Presentation transcript:

1 Acute Fluoride Poisoning Leading to Fatal Hyperkalemia
Romulo F. Baltazar, M.D., F.C.C.P., Morton M. Mower, M.D., F.C.C.P., Ruben Reider, M.D., Morris Funk, M.D., Joseph Salomon, M.D.  CHEST  Volume 78, Issue 4, Pages (October 1980) DOI: /chest Copyright © 1980 The American College of Chest Physicians Terms and Conditions

2 Figure 1A Standard leads obtained four years previously showing increased voltage but normal ST-T contour. B. Standard leads obtained at time of admission prior to development of repetitive ventricular fibrillation showing marked peaking of T waves in almost all leads. The T waves are much taller than QRS complexes in precordial leads. CHEST  , DOI: ( /chest ) Copyright © 1980 The American College of Chest Physicians Terms and Conditions

3 Figure 2A Baseline ECG of experimental dog prior to infusion of sodium fluoride. B. Tracing taken 55 minutes later showing marked peaking of T waves in almost all leads. These changes were apparent after 30 minutes of infusion. Potassium levels in both experimental animals were always elevated when these T wave changes appeared, 6.9 mEq/L in this instance. CHEST  , DOI: ( /chest ) Copyright © 1980 The American College of Chest Physicians Terms and Conditions


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