Torsade de Pointes
Paroxysmal (starting and stopping suddenly)
Hallmark of this rhythm is the upward and downward deflection of the QRS complexes around the baseline. The term Torsade de Pointes means "twisting about the points."
Consider it V-tach if it doesnt respond to antiarrythmic therapy or treatments
- drugs which lengthen the QT interval such as quinidine
- electrolyte imbalances, particularly hypokalemia
- myocardial ischemia
- Synchronized cardioversion is indicated when the patient is unstable.
- IV magnesium
- IV Potassium to correct an electrolyte imbalance
- Overdrive pacing
For more information about Torsade de Pointes, please visit this YouTube link produced by 100lyric