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ECG Challenge From Dr. Ahmed - Patient With Hyperkalemia

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This ECG was kindly donated to the ECG Guru website by Dr. Ahmed for open discussion among our members.  The patient was a 70+ year-old man who presented with a complaint of dizziness.  His serum potassium level was found to be 6.5 (normal is 3.5 - 5.0).  Upon correction of his K levels, his rhythm was atrial fibrillation at 130 / min.

WHAT DO YOU THINK ABOUT THIS INITIAL ECG?  What is causing the slow rate? Is there atrial activity?  Do you see QRS morphology changes?  What about the anterior ST and T wave changes? 

We look forward to hearing from our members!  And thanks to Dr. Ahmed for donating this interesting ECG.

 

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