Torsades De Pointes

[alfamax4562]

that can't be a real BP... perfusion is to lo

[DonLouiVer]

these videos are so cool... coz i'm learning electrocardiography...

torsades de pointes in real life...that's wow..

sucks for the woman... hope she's okay

[MATHIEULEONARD]

hurray for MAG sulphate

[tootswog]

If the pt goes into torsades, you want to give 1-2 gram Magnesium

[luisverde71]

exelente video

tambien es interesnte el ecg me parece un sindrome de brujada y las torsades ocurren cuando hay un problema de elctrolitos y muy principalmente en el potasio .

saludos

[drgrimaldo]

Buen video...

[beidlgsicht]

i hope she is alright

[Thegrizzlyking]

Did She Die?

[xclnt000]

I think defibrillation rather than Cardiovertion.

[LukeSlomka]

bloody hell i wish i understood this stuff, i dont think i will spot it in the real world hope i can

[rilax4444]

Why didn´t you cardiverted immediately this woman? Or u used amiodarone?? What was the treatment?

[xclnt000]

It seems to me,hypocalcemia triggers your prolonged QT interval. That's reason why some of the rhythm has non-sustained VT( we called that R on T phenomenon), you didn't mention your Mag level that causes mainly of Torsades, of course hypokalemia as well. Always remember if your PH is HIGH( alkalosis) your K+ level will be low and vise versa. Hmmm.... ALDACTONE? kinda questionable order? To retain your potassium? I think that's not the issue here.

[fadykan]

i had a patient like this one the other day.

60years old Diabetic, htn female presenting with vomiting and syncope.

EKG showed prolonged QT and QTc and resting HR 50 bpm with recurrent episodes of torsades de pointes.lab showed profounf hypokalemia and hypocalcemia with ABG showing saline unresponsive metabolic alkalosis and normal aldosterone level. she respond very well to xylocaine infusion, beta blockers and spironolactone, with correction of electrolyte imbalance.now she s doing pretty well

[MoodyGroove]

Excellent point with regard to the QT/QTc. Yes there are inverted T waves, but the QT looks prolonged, and that's the key to Torsades.

[EdiesMama]

I've seen it several times - throw on some pacer pads and shoot some mag already!

[peptidoglicano]

para mi es un sindrome de brugada

[jt8fan7272]

I used to be a nurse on a cardiac floor. I have only seen Torsades once. Real interesting rythm

[GodsIastBreath]

this type of heart rhythm is RARE! I used to be a monitor Tech in ICCU. Only saw this rhythm ONCE

[virtualetude]

hey, how did you become a monitor tech...I think I would like that type of job for now

[sonick808]

did she have history of long QT ?

I was recently taken off of a medication due to developing data on it causing long QT interval.... well, I started having PVC's in Februrary that are causing me terrible panic and depression.... jsut out of nowhere, 1-2 pronounced PVC's per day..... sucks!

[5awa998]

did u check the thyriod hormones, hypothyriodism may cause prolonged QT.?!

[agonigg]

whaatt!! is this kind of herat attack ???

[fuckshitass911]

no. it's not heart attack.

it's called 'mariokartial infraction', a deadly condition which your heart jumps out from your chest cavity and attacks everyone nearby, just like mario. the twisting waveform you see on the monitor represents the ups and downs motion of the heart

when you suffer from acute MI, you must die, or your heart will kill everyone around you.

[leviathan85]

lol nice trolling

[kikky2003]

Looks like a patient I had the other day... Very high BP, low underlying heart rhythm and she was having more runs of torsades than she was a normal heart rhythm. The thing that puzzled all of us with the patient I had was that her Magnesium level was normal!!

[aliceodin]

well, sometimes magnesium sulfate iv works even in those with normal magnesium level...

Great video, huh?

[virtualetude]

wow thats a nasty unstable heart rhythm!

[virtualetude]

wow very nasty unstable rhythm!

[eddo98]

where'd you get this video?

they always explain these things in lecture, but it's much easier to understand w/ a visual!

thank you!!!!

[cinoshmathew]

thanks.. it was recorded by me in our ICCU.. lucky such a patient came in my posting

[funkyflights]

wow.... did the women survive ? I hope so