Hypokalemia as well as Hypomagnesemia could fascilitate the occurrence of TdP because of QTc prolongation, thus adding to this risk especially in Covid 19 patients on Hydroxychloriquine/Azithromycin and/or Myocarditis.
Hypokalemia is prevailing in patients with COVID-19. The correction of hypokalemia is challenging because of continuous renal K+ loss resulting from the degradation of ACE2. The end of urine K+ loss indicates a good prognosis and may be a reliable, in-time, and sensitive biomarker directly reflecting the end of adverse effect on RAS system.