<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932019000100054</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2019.06(01)54-062</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manifestaciones electrocardiográficas en pacientes con hiperpotasemia del Servicio de Clínica Médica del Hospital Nacional en 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Electrocardiographic manifestations in patients with hyperkalemia of the Medical Clinic Service of the National Hospital in 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peralta]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Codas Martínez]]></surname>
<given-names><![CDATA[Leny Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cubilla Zaracho]]></surname>
<given-names><![CDATA[Cristhian Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oviedo Barni]]></surname>
<given-names><![CDATA[Nora Mariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jacquet Campuzano]]></surname>
<given-names><![CDATA[Hugo Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada del Este Facultad de Ciencias de la Salud "Prof. Dr. Manuel Riveros". Carrera de Medicina.]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>01</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>6</volume>
<numero>1</numero>
<fpage>54</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932019000100054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932019000100054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932019000100054&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el aumento sérico del potasio &gt;5,5 mEq/L constituye la alteración electrolítica grave pues puede generar alteraciones en la conducción cardiaca y arritmias potencialmente letales. El electrocardiograma es una fuente fiable para determinar la hiperpotasemia.  Objetivos:  describir los trastornos electrocardiográficos en pacientes internados en el Servicio de Clínica Médica del Hospital Nacional en 2018.  Metodología:  estudio observacional, transversal, prospectivo de una base de datos secundaria. Se relacionaron los electrocardiogramas y niveles séricos del potasio en varones y mujeres, mayores de edad, con potasio sérico &gt;5,5 mEq/L internados en Servicio de Clínica Médica del Hospital Nacional (Itauguá, Paraguay) en el periodo agosto-diciembre 2018.  Resultados:  se incluyeron 43 pacientes, 51% varones con edad media 60±13 años y 49% mujeres con edad media 57±14 años. Eran portadores de insuficiencia renal crónica en 91%. El valor medio del potasio sérico fue 6,5±0,8 mEq/L. En 18 sujetos (42%) se detectó alguna alteración electrocardiográfica compatible con hiperpotasemia. Los hallazgos más comunes fueron onda T picuda (21%), índice T/R &gt;0,75 (14%) y bradicardia sinusal (5%).  Conclusión:  los trastornos electrocardiográficos se detectaron en 42% y el hallazgo más frecuente fue la onda T picuda (21%).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT   Introduction:  The serum potassium increase&gt; 5.5 mEq/L constitutes a serious electrolyte alteration as it can generate problems in cardiac conduction and potentially lethal arrhythmias. The electrocardiogram is a reliable source to determine hyperkalemia.  Objectives:  To describe electrocardiographic disorders in patients admitted to the Medical Clinic Service of the National Hospital in 2018.  Methodology:  Observational, cross-sectional, prospective study of a secondary database. The electrocardiograms and serum potassium levels were related in adult men and women with serum potassium&gt; 5.5 mEq/L admitted to the Medical Clinic Service of the National Hospital (Itauguá, Paraguay) in the August-December 2018 period.  Results:  Forty three patients were included, 51% were males with an average age of 60±13 years and 49% women with an average age of 57±14 years. They were carriers of chronic renal failure in 91%. The average value of serum potassium was 6.5±0.8 mEq/L. In 18 (42%) subjects some electrocardiographic alteration compatible with hyperkalemia were detected. The most common findings were peaked T wave (21%), T/R index&gt;0.75 (14%) and sinus bradycardia (5%).  Conclusion:  Electrocardiographic disorders were detected in 42% and the most frequent finding was the peaked T wave (21%).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hiperpotasemia]]></kwd>
<kwd lng="es"><![CDATA[electrocardiografía]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia renal]]></kwd>
<kwd lng="en"><![CDATA[hyperkalemia]]></kwd>
<kwd lng="en"><![CDATA[electrocardiography]]></kwd>
<kwd lng="en"><![CDATA[renal failure]]></kwd>
</kwd-group>
</article-meta>
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