6 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... interval •Class ... 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 ... interval ... Hypokalemia #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
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Drugs that prolong QT ... interval: • Class ... Congenital long QT ... Syndrome Electrolyte ... VentricularTachycardia #TorsadesdePointes
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... changes (especially QT ... #Hypokalemia #Management ... #CriticalCare
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
Section: QT interval ... includes long QT ... QT syndrome, both ... Provides a systematic approach ... #cardiology #differential