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Table 3 The frequency of ECG changes suggestive of hyperkalemia in mildly, moderately, and severely hyperkalemic patients

From: Clinical and electrocardiogram presentations of patients with high serum potassium concentrations within emergency settings: a prospective study

ECG changes suggestive of hyperkalemia

Hyperkalemia severity

Chi-square, p-value (X2, degree of freedom)

Mild

(5.5–5.9 mmol/L)

(N=7)

N (%)

Moderate

(66.4 mmol/L)

(N=27)

N (%)

Severe

(≥6.5 mmol/L)

(N=33)

N (%)

Flattening of P wave

1 (14.3)

2 (7.4)

4 (12.1)

0.788 (0.476, 2)

Disappearance of P wave

0 (0.0)

1 (3.7)

1 (3.0)

0.876 (0.264, 2)

Prolonged PR interval (> 200ms)

0 (0.0)

3 (11.1)

4 (12.1)

0.733 (2.016, 2)

Widened QRS (>120ms)

1 (14.3)

2 (7.4)

5 (15.2)

0.642 (0.888, 2)

Peaked T wave

1 (14.3)

0 (0.0)

7 (21.2)

0.041 (6.396, 2)

Shortened QT-corrected (QTc) interval

0 (0.0)

1 (3.7)

0 (0.0)

0.471 (1.504, 2)

ST elevation

0 (0.0)

1 (3.7)

0 (0.0)

0.471 (1.504, 2)

ST depression

1 (14.3)

1 (3.7)

2 (6.1)

0.756 (0.559, 2)

Right bundle branch block (RBBB)

1 (14.3)

0 (0.0)

2 (6.1)

0.219 (3.033, 2)

Left bundle branch block (LBBB)

0 (0.0)

0 (0.0)

2 (6.1)

0.346 (2.124, 2)

Arrythmias

   

0.449 (7.846, 8)

 Atrial fibrillation

2 (28.6)

2 (7.4)

5 (15.2)

 Sinus bradycardia

0 (0.0)

5 (18.5)

1 (3.0)

 Sinus tachycardia

1 (14.3)

3 (11.1)

4 (12.1)

 Supraventricular tachycardia (SVT)

0 (0.0)

0 (0.0)

1 (3.0)