The reported incidence of hyperkalaemia in hospitalisedpatients is between 1 and 10%. I Thevast majority of cases are related to patients prescribed angiotensin converting enzyme inhibitors (ACE) or angiotensin II receptor blockers (ARBs) in conjunction with spironolactone with pre-existing or new renal failure. Most other cases are related to potassium supplementation and prescription of diure...

A 61 year old man with mild aortic stenosis and chronic depression took 12.5 mg digoxin in a suicide attempt. Ventricular tachycardia and fibrillation were resistant to lignocaine and to phenytoin but responded to intravenous amiodarone, with restoration of pacing. Because of persistent hyperkalaemia he was also treated with Fab fragments of digoxin specific antibody, which bound most of the in...

Fransen et al. [1] published a Heart Beat in this journal showing a case with rate-dependent left bundle branch block (LBBB) in a patient with serious hyperkalaemia. Critical appraisal of the ECGs, however, suggests that the hyperkalaemia by itself may be the explanatory mechanism of the LBBB rather than the increased heart rate. As shown in Fig. 1, the QRS complex immediately following a prolo...

Abstract Aims Hyperkalaemia is very common in hospitalised patients especially peri-operative settings. It associated with increased length of stay, morbidity and mortality. Here we review the management hyperkalaemia emergency surgery inpatients compared to recommended national guidelines. With identification any gaps, will introduce a new protocol standardize practice as basis our educational...

BACKGROUND The rare autosomal dominant genetic disorder familial hyperkalemia and hypertension which is caused by mutations in WNK4 kinase, is characterized by childhood hyperkalemia and hypercalciuria, and appearance of hypertension in the third to fourth decade. Accompanying short stature is often described. METHODS We determined height, blood pressure and blood and urinary biochemical para...

Background Kidney transplant recipients often receive large volumes of intravenous fluid replacement in the peri-operative period. Administration of 0.9% saline has previously been associated with acidosis, hyperkalaemia and acute kidney injury. The perioperative use of physiologically balanced replacement fluids may reduce the incidence of post-operative renal replacement therapy and hyperkala...

A 6-year-old male crossbred dog was referred to the Veterinary Medical Teaching Hospital of Islamic Azad University of Karaj with the history of abdominal distention, rectal tenesmus and stranguria. Abdominal radiographs and ultrasonography indicated large distended urinary bladder and prostatic enlargement. ECG showed temporary episodes of atrial standstill. The only abnormalities detected by ...

look at first glance as though ICI 118 551 has no effect on exercise-induced hyperkalaemia compared with placebo. However, the baseline potassium concentration was significantly lower in the ICI 118 551 group than in the placebo group, and this may explain the apparent lack of effect on exercise response. Furthermore, in that study atenolol had no effect on the exercise-induced potassium respon...