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Atrial rate and rhythm abnormalities in a patient with hyperkalemia.

Rosman J, Thiagarajah P, Schweitzer P, Rachko M, Hanon S - Indian Pacing Electrophysiol J (2009)

Bottom Line: A 67 year old man presented with a serum potassium of 7.7 mEq/L and slow atrial flutter with variable A-V block and peaked T waves.Initial treatment for hyperkalemia was followed by an increase in the atrial flutter rate to 300 beats per minute.After hemodialysis the rhythm converted to sinus.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Cardiology, Beth Israel Medical Center. 16th street and 1st avenue. New York, New York 10003, USA. jrosman@chpnet.org

ABSTRACT
A 67 year old man presented with a serum potassium of 7.7 mEq/L and slow atrial flutter with variable A-V block and peaked T waves. Initial treatment for hyperkalemia was followed by an increase in the atrial flutter rate to 300 beats per minute. After hemodialysis the rhythm converted to sinus.

No MeSH data available.


Related in: MedlinePlus

Admission ECG showing slow atrial flutter at an atrial cycle length of 400ms (atrial rate of 150bpm)
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Figure 1: Admission ECG showing slow atrial flutter at an atrial cycle length of 400ms (atrial rate of 150bpm)

Mentions: A 67 year old man with hypertension and chronic kidney disease on hemodialysis presented to the emergency department with a 2 day history of diarrhea and fatigue. He missed his last dialysis appointment because of his presenting symptoms. Physical exam revealed a blood pressure of 164/87 and irregularly irregular heart rate of 45 beats per minute (bpm). His ECG (Figure 1) showed slow atrial flutter (atrial rate ~160 bpm) with variable A-V block and peaked T waves. The patient had no known history of atrial arrhythmias and his ECG a week prior revealed normal sinus rhythm. Serum chemistry was significant for potassium of 7.7 mEq/L. Echocardiography was significant for a left atrial diameter of 4.2 cm and a right atrial diameter of 4.7 cm.


Atrial rate and rhythm abnormalities in a patient with hyperkalemia.

Rosman J, Thiagarajah P, Schweitzer P, Rachko M, Hanon S - Indian Pacing Electrophysiol J (2009)

Admission ECG showing slow atrial flutter at an atrial cycle length of 400ms (atrial rate of 150bpm)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2683641&req=5

Figure 1: Admission ECG showing slow atrial flutter at an atrial cycle length of 400ms (atrial rate of 150bpm)
Mentions: A 67 year old man with hypertension and chronic kidney disease on hemodialysis presented to the emergency department with a 2 day history of diarrhea and fatigue. He missed his last dialysis appointment because of his presenting symptoms. Physical exam revealed a blood pressure of 164/87 and irregularly irregular heart rate of 45 beats per minute (bpm). His ECG (Figure 1) showed slow atrial flutter (atrial rate ~160 bpm) with variable A-V block and peaked T waves. The patient had no known history of atrial arrhythmias and his ECG a week prior revealed normal sinus rhythm. Serum chemistry was significant for potassium of 7.7 mEq/L. Echocardiography was significant for a left atrial diameter of 4.2 cm and a right atrial diameter of 4.7 cm.

Bottom Line: A 67 year old man presented with a serum potassium of 7.7 mEq/L and slow atrial flutter with variable A-V block and peaked T waves.Initial treatment for hyperkalemia was followed by an increase in the atrial flutter rate to 300 beats per minute.After hemodialysis the rhythm converted to sinus.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Cardiology, Beth Israel Medical Center. 16th street and 1st avenue. New York, New York 10003, USA. jrosman@chpnet.org

ABSTRACT
A 67 year old man presented with a serum potassium of 7.7 mEq/L and slow atrial flutter with variable A-V block and peaked T waves. Initial treatment for hyperkalemia was followed by an increase in the atrial flutter rate to 300 beats per minute. After hemodialysis the rhythm converted to sinus.

No MeSH data available.


Related in: MedlinePlus