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  • 0 Hyperkalemia

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    Lissi de Omaña
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    The ECG shows wide QRS complexes, tall T waves in V4 that are taller than the R wave, and a Brugada pattern in V1 when the rate speeds up periodically - all features of hyperkalemia. This ECG is from a patient with a potassium level of 7.2 mEq/L who was admitted for septic shock after a second renal transplant. Hyperkalemia can sometimes cause an acquired Brugada pattern by disabling sodium channels.

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    0-Hyperkalemia

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    The ECG shows wide QRS complexes, tall T waves in V4 that are taller than the R wave, and a Brugada pattern in V1 when the rate speeds up periodically - all features of hyperkalemia. This ECG is from a patient with a potassium level of 7.2 mEq/L who was admitted for septic shock after a second renal transplant. Hyperkalemia can sometimes cause an acquired Brugada pattern by disabling sodium channels.

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    11 views1 page

    0 Hyperkalemia

    Uploaded by

    Lissi de Omaña
    The ECG shows wide QRS complexes, tall T waves in V4 that are taller than the R wave, and a Brugada pattern in V1 when the rate speeds up periodically - all features of hyperkalemia. This ECG is from a patient with a potassium level of 7.2 mEq/L who was admitted for septic shock after a second renal transplant. Hyperkalemia can sometimes cause an acquired Brugada pattern by disabling sodium channels.

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    Attribution Non-Commercial (BY-NC)
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    Hyperkalemia

    Discussion The QRS complexes are wide. The T waves are tall, especially in V4, where the T wave is taller than the R wave. When the rate speeds up periodically, the V1 rhythm strip shows Brugada ECG pattern (downsloping ST segment that begins from the top of the R wave, ending in an inverted T wave). These are all features of hyperkalemia. This tracing is from a patient with a second renal transplant who was admitted in septic shock with a serum potassium of 7.2 mEq/L. Acquired Brugada ECG pattern is well recognized during hyperkalemia in some cases by hyperkalemia disabling the sodium channel. The low QRS voltage, especially in the limb leads, raises the possibility of pericardial effusion or hypothyroidism, but the other ECG findings described above are not associated with these conditions.

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