16 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... 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 ... Hypokalemia #TorsadesDePointes ... #Diagnosis #Cardiology ... #ECG #EKG
QT / QTc Interval Measurement in Irregular Rhythms
2 Approaches:
 • Measure and calculate the QTc for
QT / QTc Interval ... following the longest ... intervals on the EKG ... #diagnosis #ecg ... #ekg #electrocardiogram
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... **Get baseline EKG ... - QT prolonging ... meds Why? ... Syndrome #Diagnosis #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... QT via long ST ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
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 ... #Hypokalemia #LongQTC ... #PVCs #EKG #ECG ... Electrocardiogram #Cardiology
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
EKG with Cerebral ... There is a long ... QT. ... Cerebral #TWaves #ECG ... Hemorrhage #SAH #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... 360 ms: ↑ca - Long ... QT: "antis and ... #Approach #ECG ... #EKG #diagnosis
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... Donepezil Congenital long ... QT Syndrome Electrolyte ... VentricularTachycardia #TorsadesdePointes
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 ... #CriticalCare