Jurnal Kedokteran Diponegoro
Vol 15, No 1 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)

MANAGEMENT OF RECURRENT SEVERE HYPOKALEMIA IN CORONARY ARTERY BYPASS SURGERY

Dian Raseka Parna (Department of Anesthesiology and Intensive Care, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia)
Herdono Poernomo (Department of Anesthesiology and Intensive Care, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia)
I Made Adi Parmana (Department of Anesthesiology and Intensive Care, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia)



Article Info

Publish Date
31 Dec 2025

Abstract

Background: Intracellular and serum potassium levels have important effects on homeostasis cardiovascular system. Patients undergoing cardiac surgery may develop perioperative hypokalemia. Electrocardiographic (ECG) manifestations of hypokalemia include flattening of the T wave followed by T wave inversion, ST wave depression, prominent U wave, prolongation of the QTc interval, torsades de pointes, to asystole. Case Presentation: In this case report, a patient with coronary heart disease who underwent coronary artery bypass surgery, with moderate to severe hypokalemia, before surgery to postoperative care in the ICU. Management of hypokalemia in this patient using potassium chloride 10-50meq/hour (total 250 meq). Conclusion: Establishing a diagnosis, looking for underlying disease related to hypokalemia, and a history of preoperative medication should also be considered. Optimal conditions preoperatively can reduce morbidity and mortality. Appropriate management of severe hypokalemia should be known to all medical personnel. Periodic monitoring of ECG and potassium levels is necessary.

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Journal Info

Abbrev

medico

Publisher

Subject

Medicine & Pharmacology

Description

JKD : JURNAL KEDOKTERAN DIPONEGORO ( ISSN : 2540-8844 ) adalah jurnal yang berisi tentang artikel bidang kedokteran dan kesehatan karya civitas akademika dari Program Studi Kedokteran Umum, Fakultas Kedokteran, Universitas Diponegoro Semarang dan peneliti dari luar yang membutuhkan publikasi . ...