The computerized QTc is 472, but the actual QTc is well over 600 ms. The T-waves are almost like a sine wave, and there are very prominent U-waves, best seen in precordial leads. These findings are pathognomonic of hypokalemia, and this was indeed the etiology of the cardiac arrest.
Is this OMI, Subendocardial ischemia, LVH, or some combination?
Written by Magnus Nossen. An ECG was obtained from an elderly male nursing home resident who was referred to the emergency department because…