Wavy Triple an Electrocardiographic Sign (Yasser Sign) in Hypocalcemia with Tented T-wave and Chronic Renal Failure; Diverse Management - A Case Report

Abstract

Rationale: Electrolyte disorders is a noteworthy entity in clinical practice. Hypocalcemia is a well-known serious electrolyte disorder. A Wavy triple sign of hypocalcemia (Yasser sign) is a novel an electrocardiographic sign linked to calcium deficiency. Tented T-wave is frequently identified in chronic kidney disease. Hyperkalemia is a lethal metabolic disturbance that may be a result of kidney failure. Patient concerns: An old-aged male carpenter patient presented to the emergency department with hyperventilation syndrome, chest pain, and tetany. Diagnosis: Chronic renal failure-induced hypocalcemia with subsequent a Wavy triple an electrocardiographic sign or Yasser sign. Interventions: Electrocardiography, arterial blood gases, oxygenation, and echocardiography. Lessons: The dramatic reversal of the wavy triple sign of hypocalcemia (Yasser sign) after calcium gluconate injection interpret that these signs were due to hypocalcemia of chronic renal failure. Tented T-wave is not necessary occurs by hyperkalemia. Outcomes: There was a dramatic improvement of both clinical and electrocardiographic wavy triple sign of hypocalcemia after calcium injection.