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10.14740/cr538w

http://scihub22266oqcxt.onion/10.14740/cr538w
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C5421491!5421491!28515827
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suck abstract from ncbi


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pmid28515827      Cardiol+Res 2017 ; 8 (2): 77-80
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  • Transient Left Bundle Branch Block due to Severe Hyperkalemia #MMPMID28515827
  • Kumar K; Biyyam M; Singh A; Bajantri B; Tariq H; Nayudu SK; Chilimuri S
  • Cardiol Res 2017[Apr]; 8 (2): 77-80 PMID28515827show ga
  • Hyperkalemia is a potentially life-threatening electrolyte imbalance that can lead to sudden death from cardiac arrhythmias and asystole. We present a case of transient left bundle branch block pattern on an electrocardiogram (ECG) secondary to hyperkalemia in a patient with history of end-stage renal disease. A 52-year-old man presented to the emergency room (ER) with chief complaints of weakness and lethargy after missing his regularly scheduled session of hemodialysis. A 12-lead ECG in the ER showed sinus tachycardia at 118 beats/min, wide QRS complexes, peaked T waves and left bundle branch block-like pattern. The initial basic metabolic panel revealed a serum potassium level of 8.8 mEq/L. Subsequently, the patient underwent emergent hemodialysis. Serum chemistry after hemodialysis showed improvement in serum potassium to 4.3 mEq/L. Repeat ECG performed after correcting potassium showed dissolution of left bundle branch block finding.
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