Electrolyte Disturbances and Voltage Abnormalities

 

 
   

 

 
Potassium Hyperkalemia   Hypokalemia
  K= 5.5: T-waves became tall and peaked    
  K= 6.5: QRS changes start   K< 2.7: U wave large U-wave or TU complex
  K>7.0: P-waves decreased pwave amplitude   Depress ion of ST segment >0.5mm
  K>8.0 P-wave becomes invisible   U-wave amplitude > 1.0 mm
  K> 12: Vfib or asystole   U-wave> Twave
Calcium      
  Hypercalcemia Hypocalcemia  
 

Foreshortened ST segment

Long ST  
  QT inverval shortened (Qtc of less than 270ms is 90% of the time related to hypercalcemia Long QTc