Hiperkaleminin Nadir Nedenlerinden Biri: Diyetle Fazla Miktarda Potasyum Alımı Muz Yeme Sonrası Hiperkalemi Olur mu?

Yıl 2021, Cilt: 43 Sayı: 3, 293 - 296, 07.05.2021

Mustafa Emin Çanakçı , Kübra Parpucu Bağçeci Nurdan Acar

https://doi.org/10.20515/otd.716443

Öz

Diyetle fazla miktarda potasyum alımı sonrasında hiperkalemi nadir gelişen bir durumdur. Özellikle böbrek fonksiyon bozukluğu ve çoklu ilaç kullanımı olan hastalarda görülme ihtimali artabilir. Potasyum bozuklukları kardiyak etkilenime yol açtığından tanınmadığı veya tedavi edilmediği durumlarda hayatı tehdit eden kardiyak aritmiler görülebilir. Acil servisimize bulantı şikayeti ile gelen hastada hiperkalemi saptanmıştır. Hastanın anamnezi tekrar alındı ve diyetle aşırı miktarda muz tüketimi olduğu öğrenildi. Yaşlılarda ve ek hastalığı olan hastalarda potasyumun atılımı ile ilgili problemler olabileceği akılda tutulmalıdır. Hastamızın acil serviste tedavisi erken dönemde başlanarak ve potasyumu normal sınırlara düşürülmüştür. Hiperkalemi saptanan tüm hastalarda böbrek fonksiyon bozukluklarına ek olarak diyet alımı da sorgulanmalıdır.

Anahtar Kelimeler

Hiperkalemi, diet, EKG

A Rare Cause of Hyperkalaemia: Excessive Potassium İntake with Diet Does Hyperkalaemia Occur After Eating Bananas?

Öz

Hyperkalemia is a rare condition after the dietary intake of large amounts of potassium. It may be more likely to occur in patients with impaired renal function and multiple drug use. Since potassium disorders lead to cardiac effects, life-threatening cardiac arrhythmias may occur when they are not recognized or treated. We detected hyperkalemia in the patient who came to our emergency department with a complaint of nausea. The anamnesis of the patient was detailed, and it was learned that the patient had excessive consumption of bananas with diet. It should be borne in mind that there may be problems with excretion of potassium in the elderly and patients with additional diseases. Treatment of our patient in the emergency department was started early and potassium was reduced to normal limits. Dietary intake should be questioned in addition to kidney dysfunction in all patients with hyperkalemia.

Anahtar Kelimeler

Hyperkalemia, diet, ECG

Kaynakça

• 1. Lavonas EJ, Drennan IR, Gabrielli A, Heffner AC, Hoyte CO, Orkin AM, vd. Part 10: Special Circumstances of Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 03 Kasım 2015;132(18 suppl 2):S501-18.
• 2. te Dorsthorst RPM, Hendrikse J, Vervoorn MT, van Weperen VYH, van der Heyden MAG. Review of case reports on hyperkalemia induced by dietary intake: not restricted to chronic kidney disease patients. Eur J Clin Nutr. Ocak 2019;73(1):38-45.
• 3. Corbacioglu S, Guler S, Yağmur D, Ülker V, Kilicaslan I. Severe Hyperkalemia Resulting from Excessive Consumption of Apricot and Banana: A Report of Two Cases and Review of the Literature. Turk J Emerg Med. 01 Ocak 2012;
• 4. Nyirenda MJ, Tang JI, Padfield PL, Seckl JR. Hyperkalaemia. BMJ. 23 Ekim 2009;339(oct23 1):b4114-b4114.
• 5. Javed RA, Marrero K, Rafique M, Khan MU, Jamarai D, Vieira J. Life-threatening hyperkalaemia developing following excessive ingestion of orange juice in a patient with baseline normal renal function. Singapore Med J. Kasım 2007;48(11):e293-295.
• 6. Mueller BA, Scott MK, Sowinski KM, Prag KA. Noni juice (Morinda citrifolia): hidden potential for hyperkalemia? Am J Kidney Dis Off J Natl Kidney Found. Şubat 2000;35(2):310-2.
• 7. Tazoe M, Narita M, Sakuta R, Nagai T, Narita N. Hyperkalemia and hyperdopaminemia induced by an obsessive eating of banana in an anorexia nervosa adolescent. Brain Dev. Temmuz 2007;29(6):369-72.
• 8. Miller KC. Plasma Potassium Concentration and Content Changes After Banana Ingestion in Exercised Men. J Athl Train. 2012;47(6):648-54.
• 9. Mattu A, Brady WJ, Robinson DA. Electrocardiographic manifestations of hyperkalemia. Am J Emerg Med. Ekim 2000;18(6):721-9.
• 10. Joshipura KJ, Ascherio A, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, vd. Fruit and vegetable intake in relation to risk of ischemic stroke. JAMA. 06 Ekim 1999;282(13):1233-9.