Remove Cardiac Arrest Remove Circulation Remove Dysrhythmia
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Patient with severe DKA, look at the ECG

Dr. Smith's ECG Blog

So the real QT is shorter, but the computer does not mention the U-wave, and the U-wave is as important as the T-wave in predicting cardiac dysrhythmias. If cardiac arrest from hypokalemia is imminent (i.e., mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 mEq/L, from 1.9

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Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?

Dr. Smith's ECG Blog

If cardiac arrest from hypokalemia is imminent (i.e., Here is another post on hypoK: Patient with severe DKA, look at the ECG In this post, I discussed another patient I took care of : Prehospital Cardiac Arrest due to Hypokalemia I recently had a case of prehospital cardiac arrest that turned out to be due to hypokalemia.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Could the dysrhythmias have been prevented? If cardiac arrest from hypokalemia is imminent (i.e., mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2 mEq/L, from 1.9

STEMI 52
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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

There were no dysrhythmias on cardiac monitor during observation. This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. Circulation, 117, 1890–1893. [3]:

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

The limb lead abnormalities appear to be part of the Brugada pattern, as described in this article: Inferior and Lateral Electrocardiographic RepolarizationAbnormalities in Brugada Syndrome Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias.