27 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... hypomagnesemia, hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
Classic EKG triad ... of long QT, ST-depression ... this patient had cardiac ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #Hypokalemia #Management
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
EKG with Cerebral ... Subarachnoid Hemorrhage ECG ... There is a long QT ... Cerebral #TWaves #ECG ... #EKG #Electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... • QT interval is ... = QT / √ RR - ... @AmyChung #EKG ... Interpretation #ECG
Short QT Syndrome
Short QT syndrome (SQTS) is a very rare, recently described syndrome in which an
Short QT Syndrome ... Short QT syndrome ... #Syndrome #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... misdiagnosed) - Sudden cardiac ... **Get baseline EKG ... - QT prolonging ... #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology