]> 2026-07-31T09:41:25+00:00 WBR0375 0 en Two independent rhythms of P and QRS complexes Saw tooth appearance Peaked T waves ST-segment elevation in leads I and aVL ST-segment elevation is not typically associated with spironolactone administration Prolonged PR interval Prolonged PR interval is characteristic of first degree AV block. Spironolactone is not classically associated with first degree AV blockade. Pathology A 68-year-old man with a significant history of alcoholism presents to the emergency department (ED) with an altered mental status. He is unable to provide further history. His daughter explains that the patient lives alone and has never visited his primary care physician in the 8 years. Physical examination in the ED is remarkable for fetor hepaticus, spider nevi, and gynecomastia. The patient's stomach is severely distended with shifting dullness. Following appropriate work-up, he is diagnosed with hepatic cirrhosis. At discharge, the patient is prescribed furosemide and spironolactone for his ascites. The patient should be monitored for which of the following electrocardiogram (ECG) changes following spironolactone administration? C Renal 2020-10-28T00:21:21Z 2459150.5148264 WBR0375