In V1 the QRS complex is reminiscent of Brugada type 1 which is probably Brugada phenocopy and are often seen in hyperkalemia. A 12 lead electrocardiogram was done and several features that suggest hyperkalemia were detected such as a narrow based and symmetrical tall, tented T wave. Initial blood investigations in the emergency department revealed severe metabolic acidosis and hyperkalemia with a potassium of 7.6 mmol/L. Physical examination in revealed tachypnoea with a respiratory rate of 30 breaths per minute, and fine mid inspiratory crepitations at the lung bases. Ī 55-year-old gentleman with underlying type 2 diabetes mellitus, dyslipidemia, hypertension, and end stage renal disease presented with shortness of breath, vomiting and worsening fatigue for one day after missing his scheduled hemodialysis. Electrocardiogram (ECG) changes of a patient with severe hyperkalemia.
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This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Ĭite this article: Sarvesh Seger et al. Keywords: Hyperkalemia, electrocardiogram, emergency, Brugada, end stage renal disease Images in clinical medicine | Volume 5, Article 55, | 10.11604/pamj-cm.2021.4 Electrocardiogram (ECG) changes of a patient with severe hyperkalemia Sarvesh SegerĬorresponding author: Sarvesh Seger, School of Medicine, International Medical University, Clinical Campus Kluang, Kluang, Johor, Malaysiaĭomain: Emergency medicine,Internal medicine,Nephrology
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