Wednesday, 25 July 2012

ECG of the Week - 23rd July 2012 - Interpretation

This weeks ECG is from the same patient as last week following treatment with calcium gluconate & dextrose insulin infusion.







Click to enlarge

Rate:
  • 115
Rhythm:

  • Sinus
  • Regular
Axis:
  • Normal (45 deg)
Intervals:
  • PR - Normal (~160ms)
  • QRS - Normal (80-100ms)
  • QT - 320ms (QTc Bazette ~ 420 ms)
Segments & Additional

  • Nil abnormailty

Interpretation:

  • Resolution of changes associated with hyperkalaemia following treatment

References / Further Reading


EMCrit

  • Hyperkalaemia.
    • Listen to Scott's podcast or have a look at some of his journal recommendations on treatment of hyperkalaemia here
Textbook
  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.