9 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... flecanide) •Cyclic antidepressants ... hypomagnesemia, hypokalemia ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
TCA Overdose on EKG
 • Sinus tachycardia
 • QRS prolongation
 • QT prolongation
 • Rightward deviation
prolongation • QT ... Overdose #tricyclic #antidepressants ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical #criteria
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... necanide) Cyclc antidepressants ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Hyperkalemia after ... and a prolonged QT ... segment (Panel A) #Clinical ... #Cardiology #EM ... #EKG #Hyperkalemia
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... chlorpromazine) • Antidepressants ... Congenital long QT ... • Hypocalcemia
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
of long QT, ST-depression ... , and PVCs in Hypokalemia ... Worry about hypokalemia ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... changes (especially QT ... incongruous with clinical ... Internet Book of Critical ... #Management #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... NOTES: The last clinic ... 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 ... patient causing hypovolemia ... differential #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare