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Life-Threatening Severe Hyperkalemia Presenting Electrocardiographic Changes

Seyed Farshad Heidari

Hyperkalemia is a common and potential life-threatening electrolyte disorder in patients presenting to the emergency setting. It is known that renal insufficiency may abate the toxic effects of hyperkalemia on electrocardiographic abnormality formation. Herein, I have reported a case of severe hyperkalemia associated with renal insufficiency in a woman patient that presented to the emergency department with weakness and hypotension. Initial electrocardiogram showed accelerated AV junctional rhythm. Incipient treatment for hyperkalemia was begun and afterwards hemodialysis was performed for patient. Then, electrocardiogram was repeated that primary changes were removed and vital sign was stable. Eventually, it is better that hemodialysis starts from commencement for patients with life-threatening severe hyperkalemia associated with acute or chronic renal failure.