ECG changes of hyperkalemia during paced rhythm.
Paced rhythms can mask ECG changes of several conditions. ECG changes due to hyperkalemia during paced rhythm have not been well described. We report a patient with isolated noncompaction of left ventricle with left ventricular dysfunction and complete heart block on a permanent pacemaker who developed hyperkalemia. Typical ECG changes of hyperkalemia including widening of QRS complex and sine waves were seen even during paced rhythm that reverted with correction of hyperkalemia.
Bahl
Ajay
A
Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India. drajaybahl@hotmail.com
Swamy
Ajay
A
Jeevan
Harsha
H
Mahajan
Rajiv
R
Talwar
Kewal K
KK
D002125:Calcium Gluconate / Q000008:administration & dosage; D004562:Electrocardiography; D005260:Female; D005947:Glucose / Q000008:administration & dosage; D006327:Heart Block / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D006947:Hyperkalemia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D007328:Insulin / Q000008:administration & dosage; D008875:Middle Aged; D010138:Pacemaker, Artificial; D013549:Sweetening Agents / Q000008:administration & dosage; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000175:diagnosis
D007004:Hypoglycemic Agents; D007328:Insulin; D013549:Sweetening Agents; D005947:Glucose; D002125:Calcium Gluconate