Abstract
The recognition of QT interval prolongation and T-wave alternans (TWA) on an electrocardiogram (ECG) is a critical prognostic criterion. We report a 78-year-old patient with advanced chronic kidney disease (CKD) to demonstrate the intricate interaction of variables leading to electrical instability in this demographic, in addition to stressing the relevance of comprehensive diagnostic and therapeutic techniques. We underline the significance of TWA and QT prolongation as indicators for imminent ventricular arrhythmias and sudden cardiac death (SCD). The case underscores the multifactorial causes of QT prolongation and TWA in CKD. It highlights the need for further research to understand the underlying mechanisms better and develop strategies to mitigate risks in CKD patients.
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