Hypercalcemia
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Hypercalcemia
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38-year-old woman. Relentless vomiting. Confused. Twitching. The nurse leans in - Her calcium’s… 6.0 mmol/L. You hit print. And what stares back isn’t an ECG - it’s a warning. The QRS looks distorted, the T wave fused into it, and the QT interval? Vanished. That’s hypercalcaemia - when calcium surges so high that the ventricles repolarise too fast. Electric chaos in slow motion. Classic clues: QT shortening - the earliest and most reliable sign. J waves (Osborn-like notches), often in V1–V3. Wid
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