Difference between revisions of "ECG-VENTRICULAR ARRHYTHMIA (TORSADES DE POINTES)"

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<div>1. Torsades De Pointes (turning or twisting of the points) is a dangerous, polymorphic, VT A/W prolonged QT-interval.<div>2. Characterised by paroxysms of VT of changing morphology where the QRS complexes rotate around the ECG. </div><div>3. Often terminates spontaneously but may proceed to VF.</div><div>4. In a cardiac arrest situation treat as pulseless VT/VF, however regardless of the degree of compromise, treatment should be aimed at identifying & treating the cause of the shortening QT-interval.</div><div><i>5. Causes: shortening of the QT-interval may be caused by over-drive pacing, isoprenaline infusion and by ceasing anti-arrhythmic drugs which prolong QT-interval. </i></div><div>6. Management: IV magnesium sulphate. <br><br><div>[[Image:paste-904a50c2afa64f0fb9f060125536b5f7e92202b3.jpg]]<br></div></div>
===== [[Summary Article|'''SUMMARY''']] =====
1. Torsades De Pointes (turning or twisting of the points) is a dangerous, polymorphic, VT assoc. with prolonged QT-interval.
<br/>2. Characterised by paroxysms of VT of changing morphology where the QRS complexes rotate around the ECG.  
<br/>3. Often terminates spontaneously but may proceed to VF.
<br/>4. In a cardiac arrest situation treat as pulseless VT/VF, however regardless of the degree of compromise, treatment should be aimed at identifying &amp; treating the cause of the shortening QT-interval.
<br/>
<br/><i>5. Causes: shortening of the QT-interval may be caused by over-drive pacing, isoprenaline infusion and by ceasing anti-arrhythmic drugs which prolong QT-interval. </i>
<br/>6. Management: IV magnesium sulphate.  
<br/>
<br/>[[Image:paste-904a50c2afa64f0fb9f060125536b5f7e92202b3.jpg]]


 
[[Category:Electrocardiogram]]
[[Category:Ecg]]
[[Category:Advanced Life Support]]
[[Category:Advanced Life Support]]

Latest revision as of 11:31, 1 January 2023

SUMMARY

1. Torsades De Pointes (turning or twisting of the points) is a dangerous, polymorphic, VT assoc. with prolonged QT-interval.
2. Characterised by paroxysms of VT of changing morphology where the QRS complexes rotate around the ECG.
3. Often terminates spontaneously but may proceed to VF.
4. In a cardiac arrest situation treat as pulseless VT/VF, however regardless of the degree of compromise, treatment should be aimed at identifying & treating the cause of the shortening QT-interval.

5. Causes: shortening of the QT-interval may be caused by over-drive pacing, isoprenaline infusion and by ceasing anti-arrhythmic drugs which prolong QT-interval.
6. Management: IV magnesium sulphate.

Paste-904a50c2afa64f0fb9f060125536b5f7e92202b3.jpg

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