Difference between revisions of "Torsades de pointes"

(Treatment)
Line 10: Line 10:
 
#Magnesium
 
#Magnesium
 
##1-2gm IV over 1-2 min; then 1-2gm/hr gtt
 
##1-2gm IV over 1-2 min; then 1-2gm/hr gtt
#Overdrive pacing
+
#[[Overdrive Pacing]]
 
##Goal HR 90-120
 
##Goal HR 90-120
 
#Isoproterenol
 
#Isoproterenol

Revision as of 12:28, 7 January 2014

Background

  • Most commonly occurs in pts w/ prolonged QT due to heart diseaes or meds:
    • Procainamide
    • Phenothiazine
    • TCAs
    • Qunidine
    • Disopyramide

Treatment

  1. Magnesium
    1. 1-2gm IV over 1-2 min; then 1-2gm/hr gtt
  2. Overdrive Pacing
    1. Goal HR 90-120
  3. Isoproterenol
    1. 2-8 mcg/min

See Also

Source

  • Tintinalli