Hyperkalemia-LSUHealthNewOrleans.pptVIP

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: Flat T with K~3 ST depression with prominent T (actually U) and prolonged QT when K2.5-3 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 wav