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Right here we present an instance of Gitelman syndrome in an individual with recurrent cardiac arrest. A 43-year-old female ended up being accepted for out-of-hospital cardiac arrest secondary to ventricular fibrillation. Preliminary workup revealed extreme hypokalemia, hypomagnesemia, metabolic alkalosis, and prolonged QTc. The workup disclosed a picture of salt-wasting tubulopathy with hypokalemia, hypomagnesemia, and hypocalciuria. Potassium had been repleted aggressively, as well as the