![]() Here we are presenting a case report of Brugada pattern on ECG caused by hyperkalemia that was reversed with the reversal of electrolyte imbalance. It can also rarely cause Brugada pattern on ECG and it is very important for the clinicians to be aware of this presentation as treatment for both modalities is totally different, needing correction of potassium balance in hyperkalemia induced Brugada pattern and lot of investigations and ICD consideration in Brugada syndrome. Hyperkalemia is one of the most common electrolyte abnormalities that caused vast majority of ECG manifestation ranging from ST elevation to sine waves. We are adding a case to the limited literature about hyperkalemia induced reversible Brugada pattern ECG changes. Since it is very commonly encountered disorder, physicians need to be aware of even its rare ECG manifestations, which include ST segment elevation and Brugada pattern ECG (BrP). ![]() Most common ECG findings include peaked tall T waves with short PR interval and wide QRS complex. Severe hyperkalemia can even cause life threatening ventricular arrhythmias and cardiac conduction abnormalities. Hyperkalemia is well known to cause a wide variety of ECG manifestations. Clinical differentiation and recognition are essential for guiding the legitimate action. Various electrolyte disturbances and ion channels blocking drugs could also provoke BrS ECG findings without genetic BrS. ![]() Brugada syndrome (BrS) is an inherited disorder of cardiac ion channels characterized by peculiar ECG findings predisposing individuals to ventricular arrhythmias, syncope, and sudden cardiac death (SCD). ![]()
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