A diabetic female with CKD with Hyperkalemia

A middle aged female who is a known diabetic and CKD on maintenance dialysis p/w palpitations and sweating since last 3 hrs.... Her electrolytes suggested a K+ of 7.2.... Lets see her ECG and discuss the findings

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Tall & tented t wave shows Hyperkalemia with deep Q wave present in inferior lead Means old case of MI in inferior wall with CAD

Sinus tachycardia Q wave significant in lead 2&3 Tall t wave v4 tov6 Lbbb 2decho tropi&t Old infarct with hyperkaelemia

Thank you doctor
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Tall pointed T waves Prolongation of PR interval

Thank you doctor
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Tall tented t waves typical of hyperkalemia

Thank you doctor
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