Dr. Gerald Diaz @GeraldMD · 5 years ago
www.roshreview.com
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
www.roshreview.com 
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction single lead
• Originates from single focus 
• Usually precipitated by drugs that prolong the QT interval 
    Class IA antidysrhythmics (procainamide, quridine) 
    Class IC antidysrhythmics (propafenone, necanide) 
    Cyclc antidepressants 
    Droperidol 
    Phenothiazines 
    Azithromycin 
    Methadone 
• Also precipitated by electrolyte abnormaüties 
    Hypomagnesemia 
    Hypokalemia 
#TorsadesDePointes #Diagnosis #Cardiology #ECG #EKG
Dr. Gerald Diaz @GeraldMD · 5 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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