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    Electrolyte Abnormalities and ECG: Elias Hanna, MD LSU Cardiology

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    Thina Garayan
    This document discusses various electrolyte abnormalities and their associated ECG changes. For hyperkalemia, the T wave is typically tall and narrow. For hypokalemia, the T wave flattens and the U wave becomes more prominent, causing ST segment depression. Severe hypokalemia can mimic ST depression with an upright wide "T" wave that is actually a U wave. Hypocalcemia causes a long QT due to ST segment prolongation. Hypercalcemia causes a short QTc. Hypomagnesemia is not associated with specific ECG findings but can prolong the QT and QRS intervals.

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    Electrolyte Abnormalities and ECG: Elias Hanna, MD LSU Cardiology

    Uploaded by

    Thina Garayan
    18 views9 pages
    This document discusses various electrolyte abnormalities and their associated ECG changes. For hyperkalemia, the T wave is typically tall and narrow. For hypokalemia, the T wave flattens and the U wave becomes more prominent, causing ST segment depression. Severe hypokalemia can mimic ST depression with an upright wide "T" wave that is actually a U wave. Hypocalcemia causes a long QT due to ST segment prolongation. Hypercalcemia causes a short QTc. Hypomagnesemia is not associated with specific ECG findings but can prolong the QT and QRS intervals.

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    electrolyte

    Original Title

    7'Electrolyte Abnormalities7ZS

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    This document discusses various electrolyte abnormalities and their associated ECG changes. For hyperkalemia, the T wave is typically tall and narrow. For hypokalemia, the T wave flattens and the U wave becomes more prominent, causing ST segment depression. Severe hypokalemia can mimic ST depression with an upright wide "T" wave that is actually a U wave. Hypocalcemia causes a long QT due to ST segment prolongation. Hypercalcemia causes a short QTc. Hypomagnesemia is not associated with specific ECG findings but can prolong the QT and QRS intervals.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    18 views9 pages

    Electrolyte Abnormalities and ECG: Elias Hanna, MD LSU Cardiology

    Uploaded by

    Thina Garayan
    This document discusses various electrolyte abnormalities and their associated ECG changes. For hyperkalemia, the T wave is typically tall and narrow. For hypokalemia, the T wave flattens and the U wave becomes more prominent, causing ST segment depression. Severe hypokalemia can mimic ST depression with an upright wide "T" wave that is actually a U wave. Hypocalcemia causes a long QT due to ST segment prolongation. Hypercalcemia causes a short QTc. Hypomagnesemia is not associated with specific ECG findings but can prolong the QT and QRS intervals.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 9

    Electrolyte abnormalities and

    ECG
    Elias Hanna, MD
    LSU Cardiology
    Hyperkalemia:

    T wave in hyperkalemia is
    typically tall and narrow,
    but does not have to be tall
    (may be just narrow and
    peaked pulling ST segment).

    Tall T means > 2 big boxes in


    the precordial leads or >1
    small box in limb leads,
    or T wave taller than QRS.
    Hypokalemia:

    ST depression with prominent T


    Flat T with K~3
    (actually U) and prolonged QT
    when K<2.5-3
    Hypokalemia:
    -T progressively flattens
    -U wave more and more prominent (looks like
    T)
    -ST-segment more and more depressed

    Large U wave simulates and hides T wave with severe hypokalemia, the ST-T pattern
    may mimick:
    ST-segment depression with a flat or upright wide T wave (actually U)
    and a prolonged QT interval (actually QTU)
    On the other hand, the pattern of T inversion is not seen with hypokalemia:
    ECG changes of digoxin effect (digoxin
    therapy) simulate the changes seen with
    hypokalemia (U wave and ST depression),
    except that with digoxin therapy QT is not
    prolonged
    Hypocalcemia:
    Long QT that is due to a long ST segment, which is different from long
    QT due to congenital long QT syndrome, drugs, or hypokalemia. T wave
    is not wide, there is no T wave abnormality.
    Hypercalcemia: short QTc <390 ms. No significant ST or T wave abnormality
    Hypomagnesemia is not associated with
    characteristic or specific ECG findings
    It is associated with a non-specific
    prolongation of QT and/or QRS intervals, and
    is often associated with hypokalemia and
    hypocalcemia. Therefore, changes related to
    the latter 2 abnormalities may be seen.

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