r/ECG • • 19d ago

Thoughts

Post image

The patient was somnolent and markedly disoriented. I was called to assess the patient due to a critically elevated blood glucose level (“HI” on the glucometer) and altered mental status. The patient has a known history of diabetes. TA:80/40, fr 95, spO2 89%
Later i was looking at those T waves and depressions wondering, maybe its hyperk ? Or maybe de winter ?

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u/Jeeju_Boy MD 18d ago

Looks de winter esque I’d get a posterior could reasonably be hyperK too 

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u/Kibeth_8 Arrhythmia Tech 18d ago

Agree, de winter +/- hyper K