Hyperkalemia EKG Changes

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EKG Changes

with Electrolyte
Abnormalities

© USMLE Galaxy LLC

Hyperkalemia EKG Changes

● Wide, flat P waves


● Prolonged PR interval
● Widened QRS interval
● Depressed ST segment
● Tall, peaked T waves

Can lead to heart block, asystole, or V-fib

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Hypokalemia EKG Changes

● Slightly prolonged PR interval


● Slightly peaked P wave
● ST depression
● Flat/shallow/inverted T waves
● Prominent u-waves

Hypo- vs Hyperkalemia

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Hypermagnesemia EKG Changes
● Wide, flat P Wave
● Prolonged PR interval
● Widened QRS complex
● Tall T wave

Hypomagnesemia EKG Changes


● Prolonged PR interval
● Lengthened QT interval
● Risk for
○ Ventricular tachycardia
○ Torsade de Pointes

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Hypo- vs. Hypermagnesemia

Torsade de Pointes

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Hypercalcemia EKG Changes
● Shortened QT Interval
● Risk for:
○ Bradycardia
○ Ventricular Fibrillation

Hypocalcemia EKG Changes


● Lengthened QT interval
● Risk for:
○ Ventricular Tachycardia

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Hypo- vs. Hypercalcemia

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