Published online Jul 26, 2021. doi: 10.4330/wjc.v13.i7.230
Peer-review started: May 29, 2021
First decision: June 17, 2021
Revised: June 19, 2021
Accepted: July 6, 2021
Article in press: July 6, 2021
Published online: July 26, 2021
Classic electrocardiographic manifestations of hyperkalemia starting with peaked symmetrical T-waves are widely recognized in daily clinical practice but little evidence is documented how quickly it can evolve in real-time.
An elderly diabetic and hypertensive male presented with acute renal failure and rhabdomyolysis. He experienced cardiac arrest with moderate hyperkalemia despite medical treatment and hemodialysis. Telemetry changes were retrospec
In hyperkalemia, telemetry rhythm can change instantaneously in a significant way. Rapidly rising potassium could be life threatening and may require more than medical treatment.
Core Tip: We present a case of acute rhabdomyolysis and renal failure where the patient experienced cardiac arrest with moderate hyperkalemia despite medical treatment and hemodialysis. This case illustrates how quickly the telemetry rhythm can change in a short period of time (9 min).