ARRHYTHMIAS-TORSADES DE POINTES MGM

SUMMARY

1. DC cardioversion for sustained episode.
2. Magnesium sulfate 2-4 grams IV over 10-15 min.
3. Correction of hypokalemia.
4. Correction of bradycardia (isoproterenol or pacing).
5. Never treat with Class Ia or Class III anti-arrhythmic drugs (AADs) as these prolong QT intervals.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].