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ECG changes of hyperkalemia during paced rhythm
Ajay Bahl1, Ajay Swamy, Harsha Jeevan
1Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India. drajaybahl@hotmail.com
Abstract:
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.
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