17 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... interval •Class ... quinidine) •Class IC ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Short QT Syndrome
Short QT syndrome (SQTS) is a very rare, recently described syndrome in which an
Short QT Syndrome ... Short QT syndrome ... unusually short QT ... interval (QTc < ... #cardiology #ecg
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Flattened T waves QT ... /QTC Interval: ... • QT interval is ... = QT / √ RR - ... thumb: a normal QT
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... • ↓ Mg - long QT ... #ECG #EKG #Checklist ... #diagnosis #cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... interval ... quridine) Class IC ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... dextrocardia, normal Intervals ... DANGER - Short QT ... : ↑ca - Long QT ... electrocardiogram #cardiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... Syndrome: Illness ... **Get baseline EKG ... - QT prolonging ... #Diagnosis #Cardiology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... changes (especially QT ... Critical Care #Checklist ... #Hypokalemia #Management ... #CriticalCare
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... interval: • Class ... Congenital long QT ... Syndrome Electrolyte
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... Delirium in the ICU ... c deliriogenic meds ... #Management #Treatment ... #MICU #CriticalCare