May 15, 2016

Tented T waves of Hyperkalemia

A 45 yo with h/o DM, HTN, CHF and CRF body malaise and dyspnea.

Figure 1 - ECG case

What is causing this ECG change?

The 12L shows the classic tented T waves of hyperkalemia (best seen in V3-V5).

The laboratory results came back with Creatinine - 20, K - 8.0. Calcium gluconate, D50 with insulin was given and patient was dialyzed (ESRD). Patient was discharge after a few days


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