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diagnosis torsadesdepointes pharmacology admissions admitting agents antiarrhythmics checklist chf class1 clinical differential digoxin electrocardiogram evaluation foamed heartfailure pearls perioperative polymorphic
Torsades de Pointes •Precipitated by drugs that prolong the QT interval •Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... interval •Class ... IC antidysrhythmics ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Electrocardiographic Features of Digoxin Toxicity • Virtually any arrhythmia is possible. None specific for digoxin toxicity
digoxin toxicity • Classic ... Shortening of QT ... Electrocardiogram #ekg ... #ecg #toxicology ... #cardiology #diagnosis
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
that prolong the QT ... interval Class ... IC antidysrhythmics ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Class I Antiarrhythmics and their Key Pharmacologic Properties Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer") Class IB
IC = Flecainide ... in wide QRS on EKG ... results in prolonged QT ... on EKG • Increasing ... Pharmacology #Agents #Cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... that prolong QT ... Congenital long QT ... #Algorithm
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... diagnosis #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... #differential #algorithm ... #management #cardiology ... heartfailure #chf #criticalcare ... #icu #clinical
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
ASA class If ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
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