April 6, 2009

ECG changes on Patients taking captopril

60 year old Malay man with history of diabetic nephropathy on Captopril presented with palpitation since last 3 days. ECG done shows changes. [Taken and modified from Dr Azreen lecture note on clinical presentation, GUT block]

1) What abnormality seen on X-ray (2m)

2) Name the class of drug for captopril and MOA (4m)

3) What complication has occurred? (2m)

4) What is the possible cause? (2m)


1) Tall T wave

2) ACE Inhibitors, inhibit the action of angiotensin

3) Hyperkalaemia

4) ACE I induced hyperkalaemia.

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Ya Allah! Permudahkanlah aku untuk menuntut ilmuMu, memahaminya, mengingati dan menyebarkannya. Berkatilah ilmu itu dan tambahkanlah ia. Amin.