READ THIS ECG ...... OPTIONS ARE 1. HYPERCALCEMIA 2. HYPOCALCEMIA

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ECG report shows...... Hypocalcemia The prolonged QT here is due to a long ST segment. The T wave is normal. Thus the more likely diagnosis is hypocalcemia. In contrast, hypokalemia generally flattens the T wave and prolongs the QT ( U ) interval.

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SUGGESTIVE. OF HYPOCALCEMIA

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Absolutely it is hypocalcimia

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2. HYPOcalcaemia d/t Pronlonged. QT Long. ST seg. Normal. T

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Prolonged QT Long ST segments T wave normal Suggests HYPOCALCAEMIA In hypercalcaemia all findings are reciprocal to hypocalcaemia with prolonged PR interval

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1. Hypocalcemia. Hypocalcaemia is a recognised cause of QT prolongation via prolongation of the plateau phase of the cardiac action potential. ... Therefore, ventricular arrhythmias are a known complication of hypocalcaemia and patients can present with exertional syncope representing TdP and loss of cardiac output.. Shortening of QT interval reflects accelerated repolarization, which can result from increased activity of repolarizing currents, or decreased activity of depolarizing currents. ... Hyperthermia can also cause a shortened QT interval, as can drugs such as digitalis, acetylcholine, catecholamines or KATP activators.

Ecg shows prologarion of Qt inervel due to long st esgment T waves are normal Suggestive of Hypocalcimia

No p wave tall t wave confirm hypercalcimia confirm by serum calcium

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Prolonged QT Long ST segment T wave normal suggests hypocalcaemia

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Agree@Dr. Simmi Ansari

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