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Hyperkalaemia causing profound bradycardia
  1. K Noble,
  2. C Isles

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Two elderly patients presented with profound bradycardia. Both were taking angiotensin converting enzyme (ACE) inhibitors for widespread vascular disease. One had diarrhoea and the other recently started spironolactone. The first patient’s ECG showed regular broad QRS complexes with no P waves (panel A). She was paced without improvement. The second patient …

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