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An easy way to remember the usual order of ECG changes seen is by following the ECG trace logically effects begin on the. ECG changes of hyperkalaemia.

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Patients with a relatively normal ECG can suffer sudden hyperkalaemia cardiac arrest.

. The PR interval is short even allowing for the patients age. The QRS complexes do not appear particularly broad however there is definite slurring of the upstroke of each R wave most obvious in leads II III aVF and V4 delta waves The RSR pattern with T wave inversion. An example of WPW in a 5-year old boy the ECG changes are more subtle than in adults.

In any patient who has suffered a bradycardia PEA arrest suspect and treat for hyperkalaemia.

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