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Bifascicular Block Produced by Hyperkalemia

Jerome B. Shapiro · Cardiology · 2008

Bifascicular block is an unusual manifestation of hyperkalemia. A patient who developed right bundle branch block and left anterior hemiblock as the result of elevated serum potassium concentration is reported. After correction of his hyperkalemia, atrial fibrillation with a rapid ventricular response occurred. There was normal ventricular conduction despite this rate-related stress to his conduction system.

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