12 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... interval •Class ... IC antidysrhythmics ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... • ↓ Mg - long QT ... -500ms) Short QT ... #diagnosis #cardiology
Class I Antiarrhythmics and their Key Pharmacologic Properties

Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer")
Class IB
and their Key Pharmacologic ... in wide QRS on EKG ... results in prolonged QT ... #Pharmacology # ... Agents #Cardiology
Electrocardiographic Features of Digoxin Toxicity
 • Virtually any arrhythmia is possible. None specific for digoxin toxicity
digoxin toxicity • Classic ... Shortening of QT ... " or "sagging" ST ... #ecg #toxicology ... #cardiology #diagnosis
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... interval Class ... IC antidysrhythmics ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
diagnosis includes ... wave in aVR • Classic ... widened QRS and QTc ... #ekg #differential ... #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... and a prolonged QT ... waves - Short QT ... waves • Short QT ... #diagnosis #cardiology
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
prolonged PR and QT ... diminished and ST ... wave to produce classic ... #Diagnosis #Hyperkalemia ... #Progression #Table
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 • Night-blooming
wort - Increases QT ... potential arrhythmias Class ... wort - Increases QT ... supplementals #herbal #pharmacology ... #DDI #table #cardiology