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ULY CLINIC
ULY CLINIC
Torsade’s De Pointes Ventricular Tachycardia (VT)
Has a twisting pattern to the QRS complexes and a prolonged QT interval in sinus rhythm It is usually due to a QT–prolonging drug, ± hypokalaemia
Pharmacological
Stop all QT-prolonging drugs. Correct serum potassium.
Magnesium sulphate 2 g I.V over 5–10 minutes If recurrent episodes after initial dose of magnesium sulphate:
Magnesium sulphate 2 g I.V over 24 hours Torsade’s complicating bradycardia: temporary pacing.
Adrenaline infusion to raise heart rate to > 100 per minute (if temporary pacing unavailable).
Referral: All cases of wide QRS tachycardia, after resuscitation and stabilization
Non-pharmacological
Cardioversion/defibrillation, as necessary.
Torsade’s complicating bradycardia: temporary pacing.
Updated
14 Aprili 2025, 09:44:56
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