12 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
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Flattened T waves QT ... • QT interval is ... = QT / √ RR - ... thumb: a normal QT ... #cheatsheet
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
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... Congenital long QT ... • Hypocalcemia ... 1 gm/hour • Pediatric
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... LongQT #Syndrome #Diagnosis ... #Cardiology
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Scale Exposure - e.g ... Assessment #Coma #Pediatrics ... #Peds #ABCs #CriticalCare ... #Diagnosis
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... changes (especially QT ... route = severe hypokalemia ... #Management #CriticalCare
d-Transposition of the Great Arteries
 • Anatomy
 • Epidemiology
 • Associated Lesions
 • Pathophysiology/Presentation
 • Classic
Chest Xray – “Egg ... Pre-operative management ... Great #Arteries #peds ... #pediatrics #cardiology ... #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
and a prolonged QT ... Disorders: • Hyperkalemia ... waves - Short QT ... waves • Short QT ... #cardiology #ecg
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
., long QT syndrome ... Hypomagnesemia • Hypokalemia ... Differential Diagnosis ... Complexes #PVCs #PVC #diagnosis ... #differential #cardiology