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ECG Basics: Torsades de Pointes

Torsades de pointes, or polymorphic ventricular tachycardia, is a ventricular tachycardia precipitated by and associated with long QT Syndrome.  Long QT Syndrome can be congenital or acquired.  Torsades is life-threatening, and can be made worse by many drugs, including some of the drugs used to treat VT.  The rate is usually 150 - 250 / min. and the appearance is of a wide-complex tachycardia with QRS morphology changes.  In some leads, it will appear as if it is "twisting" around the isoelectric line, giving it the French name, Torsades de pointes, a ballet term meaning twisting of the points.  For a thorough discussion of Torsades, check this LINK.

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