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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 

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Wide-complex tachycardia associated with severe hyperkalemia in three cats.

The well recognized cardiac effects of severe hyperkalemia include progressive rhythm and conduction disturbances such as bradycardia, spiked and narrow T waves, widening QRS complex, widening and flattening P wave, disappearance of the P wave, and cardiac arrest. Paradoxically, a heart rate greater than 200 beats/min may coexist with hyperkalemia in some cats. This report describes three cats with moderate to severe hyperkalemia and concurrent rapid heart rate. In each cat, the serum potassium (K(+)) concentration was > or =7.5 mEq/dl with a concurrent heart rate > 200 beats/min. In each cat, nine-lead electrocardiograms demonstrate an absence of P waves and a wide-complex tachycardia. Hyperkalemia should be considered in the differential diagnosis when a feline electrocardiogram demonstrates a wide-complex tachycardia without identifiable P waves.[1]

References

  1. Wide-complex tachycardia associated with severe hyperkalemia in three cats. Norman, B.C., Côté, E., Barrett, K.A. J. Feline Med. Surg. (2006) [Pubmed]
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