Torsade de Pointes

[reichigodagirl]

thankyou. it's a great help :)

[ctnave]

Thanks for posting. So much easier to understand once you see it.

[heylookacar]

It looks like two waves with different periods added and creating interference... looks like something you see on an oscilloscope a lot.

[tyra696]

awesome! thx for posting 

[angoulmois7]

Sulfato de magnesio como tratamiento

[led3excelnsgstud]

Thanks Master Train for posting these rhythms. They were great rhythm recognition for me before attending your ACLS Provider Course. See you this month for PALS! :-)

[Allibaby78]

Torsades de pointes is a specific form of polymorphic VT in patients with a long QT interval. It is characterized by rapid, irregular QRS complexes, which appear to be twisting around the ECG baseline. This arrhythmia may cease spontaneously or degenerate into ventricular fibrillation. It causes significant hemodynamic compromise and often death. Diagnosis is by ECG. Treatment is with IV Mg, measures to shorten QT interval, and DC defibrillation when ventricular fibrillation is precipitated.

[jjovereats]

No P or T waves are visible. The QRS complex could be considered "bizarre".

[Carolinoski]

magnesio bolo 2g en 10 cc de DAD 5% para 5 -10 minutos

Cuidado postparo: - Amiodarona (si no tiene prologando el QT) o - Lidocaina

[boston18967345]

That is some crazy ass heart rhythm.

[bigdaddycuba]

crazy. look at that heart rate bouncing around.

[OliverTheIncredible]

This is GREAT, for learning purposes. Thanks.

[jhamlin726]

1-2 G of magnesium sulfate over 5-10 mins if you have a pulse with this rhythm. Otherwise, proceed to your pulseless arrest algorithm.

[tusharip]

Usually this goes VF after a short period of time:) nice recording...

[chihiroxmiyazaki]

wow this looks intense