DartmouthDave Posted December 17, 2010 Posted December 17, 2010 Hello, Edit: In my last post I should have said a RBB with a hemiblock. The left side has two pathways while the left has only one. LOL....this supports my point that I need to work on my cardiac more. With a history of HTN and DM maybe the patient has started to develop some renal insufficiency as well. Could explain the elevated potassium as well. Cheers
BAYAMedic Posted December 17, 2010 Posted December 17, 2010 You know, I don't have the 12 lead anymore, but I don't think I saw anything concerning on it. No peaked T waves, no ST changes there might have been some pathological Q waves from his previous MI's but I can't remember. It was a pretty benign 12 lead if I'm recalling correctly--nothing that led me toward hyperkalemia or a STEMI, anyway. Hmm, I may be way off on this, but based on what I have read (Pre-cardiology in medic school) is one of the factors showing the left ventricular hypertrophy would be a raised ST segment, as would hyperkalemia. could you have been seeing a large pt. and assuming the LVH from the ST elevation when it could have been diagnostic of the Hyperkalemia? If I am looking at this wrong please correct me, this is shooting from the hip without the formal classroom education to back it up. Fireman1037
Recommended Posts