# The Uncommon ECG Signature of Hypokalemia: Left Main Coronary Equivalent

**Authors:** Mahsa Borjzadehgashtaseb, Alireza Arzhangzadeh, Roozbeh Narimani Javid, Hamed Bazrafshan Drissi, Salma Nozhat, Sasan Shafiei, Davar Aledavood, Soorena Khorshidi

PMC · DOI: 10.1002/ccr3.71431 · Clinical Case Reports · 2025-11-09

## TL;DR

Severe low potassium levels can mimic heart artery disease on ECG, requiring careful diagnosis to avoid unnecessary procedures.

## Contribution

Demonstrates a rare ECG pattern of hypokalemia resembling left main coronary artery disease.

## Key findings

- Severe hypokalemia can produce ECG changes similar to left main coronary artery disease.
- Early recognition of electrolyte imbalances is crucial to prevent misdiagnosis and avoid unnecessary interventions.

## Abstract

This case highlights that severe hypokalemia can mimic the ECG findings associated with left main coronary artery disease. Early recognition and appropriate correction of electrolyte disturbances are essential in managing such presentations and avoiding misdiagnosis and unnecessary invasive procedures.

## Linked entities

- **Diseases:** hypokalemia (MONDO:0003019)

## Full-text entities

- **Diseases:** Hypokalemia (MESH:D007008), left main coronary artery disease (MESH:D003324)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12597602/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC12597602/full.md

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Source: https://tomesphere.com/paper/PMC12597602