A case of hyperkalemia after ingestion of green juice health food

DOI
  • Michishita Takahiro
    Emergency and Critical Care Medical Center, Yokohama Municipal Citizen's Hospital
  • Oi Yasufumi
    Emergency and Critical Care Medical Center, Yokohama Municipal Citizen's Hospital
  • Yamagata Hidehiro
    Emergency and Critical Care Medical Center, Yokohama Municipal Citizen's Hospital
  • Takahashi Mitsuru
    Emergency and Critical Care Medical Center, Yokohama Municipal Citizen's Hospital
  • Shirasawa Aya
    Emergency and Critical Care Medical Center, Yokohama Municipal Citizen's Hospital
  • Imaki Shouhei
    Emergency and Critical Care Medical Center, Yokohama Municipal Citizen's Hospital
  • Takeuchi Ichiro
    Department of Emergency Medicine, Yokohama City University School of Medicine

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Other Title
  • 健康食品の青汁を摂取し, 高カリウム血症にて搬送された1例

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<p>A 70s female who was undergoing rehabilitation for knee osteoarthritis complained of unwellness and required emergency help. When the emergency crew arrived, she showed hypotension (64/39 mmHg) and bradycardia (32 beats/minute), and was transported to our hospital. At initial presentation, she showed persistent bradycardia, p-wave disappearance on electrocardiography, and hyperkalemia in a blood test (8.7 mEq/L). Under the diagnosis of bradycardia associated with hyperkalemia, hemodialysis and temporary pacemaker implantation were performed. We found that before the onset of hypotension and hyperkalemia, she ingested 3 times the usual amount of green juice for 2 weeks, which may have caused her hyperkalemia.</p>

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