Forum Asst. Chief
Sorry about the crummy quality. Patient basically has no complaints. Weighs ~300 pounds (which probably accounts for the low voltage).
Yep, he had a K of ~8!
The main thing that is catching me up is the rS complexes that extend all the way across - can anybody speak to those? Maybe part of it is poor lead placement, but it's still kind of puzzling to me. They aren't quite sine waves that you see in late hyperK, and they aren't QS so not indicative of an old MI or anything like that. I've seen an identical pattern in a handful of other hyperK ekg's on Google, but I can't figure out why it happens.
Does this guy's EKG look normal once you fix his K? Or are those rS complexes due to his anatomy and not the hyperK - I know in obese patients the heart can sometimes shift so it's laying more horizontally?
Would you call the axis indeterminate on this? Or would you say I is the isoelectric lead and call it a -80 degree extreme left deviation?
Peaked and fairly symmetrical T waves. Though, I don't trust this EKG since the quality is pure crap. His HR is a bit on the slow side for someone of that size.
Absolutely not typical for hyperkalemia. QRS/T complex should be much more wide and bizarre to match the other features. Is one/both of these post-treatment of some kind?
Very interesting strips. Can you share more about the presentation, medical history, meds, etc?
So, basically we don't know his medical hx...
Peaked t waves are reminiscent of hyperK, and possible kidney disease. I agree with brandon though I would expect wider qrs complexes. also, this ekg is pretty poor quality, as is the rest of the scenerio