The EKG in the patient treated with phenothiazines

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Electrocardiographic Findings

The following may be present on electrocardiography:

Widening, flattening, notching or inversion of the T wave
Prolongation of the QTc interval which is dose related
A prominent U wave may be present
Incidence of these findings is greater with Mellaril > Thorazine > Stelazine.

v • d • e Electrocardiography
Overview	History of the EKG • EKG interpretation basics • Normal sinus rhythm
EKG Complexes	P wave • QRS complex • ST Segment • T wave • T wave alternans • Tombstone T wave • U wave Osborn wave • H wave • K wave • Delta wave NSSTW changes
EKG Intervals	PR Interval • QRS Interval • ST Interval • QT Interval
Conduction System & Bradycardia	Cardiac pacemaker • SA node • AV node• Bundle of His • Purkinje fibers • Sinus bradycardia • First Degree AV Block • Second Degree AV Block • Complete or Third-Degree AV Block • Concealed conduction • AV Junctional Rhythms • LBBB • LAHB • LPHB • RBBB • Trifascicular block
Atrial Arrhythmias	Sinus tachycardia • Premature Atrial Contractions (PACs) • Ectopic Atrial Rhythm • Paroxysmal Atrial Tachycardia (PAT) • Paroxysmal Atrial Tachycardia (PAT) with Block • Multifocal Atrial Tachycardia (MAT) • Atrial Flutter • Atrial Fibrillation • Wandering atrial pacemaker
Ventricular Arrhythmias	Differential Diagnosis of Tachycardia with a Wide QRS Complex • Accelerated Idioventricular Rhythm • Ventricular Parasystole • Premature Ventricular Contractions (PVCs) • Ventricular tachycardia • Ventricular Fibrillation • Sudden cardiac death
EKG Abnormalities in Disease States	Hypertrophy & Dilatation • Right atrial enlargement • Left atrial enlargement • Biatrial enlargement • Left Ventricular Hypertrophy • Right Ventricular Hypertrophy • Biventricular Hypertrophy • Acute myocardial infarction • NSTEMI • STEMI • Tombstone ST elevation • Right ventricular myocardial infarction • Atrial infarction Pre-excitation Syndromes • Wolff-Parkinson-White Syndrome • Lown Ganong Levine Syndrome • Mahaim Type Preexcitation Cardiomyopathies • Arrhythmogenic Right Ventricular Dysplasia • Dilated Cardiomyopathy • Hypertrophic Cardiomyopathy Drug Effects on the EKG • Adenosine • β-blockers • Digitalis • Quinidine • Procainamide • Disopyramide • Lidocaine • Tocainide and Mexiletine • Phenytoin • Encainide, Flecainide and Propafenone • Amiodarone • Bretylium • Ca Channel Blockers • Phenothiazines • Tricyclic Antidepressants • Lithium Congenital Heart Disease • Dextrocardia • Atrial Septal Defect • Ventricular Septal Defect • Tetralogy of Fallot • Conjoined Twins or Siamese Twins • Congenital heart block Electrolyte Disturbances • Hyperkalemia • Hypokalemia • Hypercalcemia • Hypocalcemia • Nonspecific Changes Other Heart Diseases • Pericarditis • Myocarditis • Tamponade • Heart Transplantation • Sick Sinus Syndrome • Long QT Syndrome Inherited Disease • Brugada Syndrome Systemic Diseases • CNS Disease • Cardiac Tumors Heart Transplantation • EKG Changes in patient with Heart Transplantation Exogenous Effects • Hypothermia • Chest Trauma • Insect Bites • Electric Injuries
Technical Issues and Potential Errors in Interpretation	Artifacts • Lead Placement Errors • The EKG in a Patient with a Pacemaker • EKG in athletes

The EKG in the patient treated with phenothiazines

Electrocardiographic Findings

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WikiDoc Resources for The EKG in the patient treated with phenothiazines
Most recent articles on The EKG in the patient treated with phenothiazines Most cited articles on The EKG in the patient treated with phenothiazines Review articles on The EKG in the patient treated with phenothiazines Articles on The EKG in the patient treated with phenothiazines in N Eng J Med, Lancet, BMJ
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Evidence Based Medicine
Cochrane Collaboration on The EKG in the patient treated with phenothiazines Bandolier on The EKG in the patient treated with phenothiazines TRIP on The EKG in the patient treated with phenothiazines
Clinical Trials
Ongoing Trials on The EKG in the patient treated with phenothiazines at Clinical Trials.gov Trial results on The EKG in the patient treated with phenothiazines Clinical Trials on The EKG in the patient treated with phenothiazines at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on The EKG in the patient treated with phenothiazines NICE Guidance on The EKG in the patient treated with phenothiazines NHS PRODIGY Guidance FDA on The EKG in the patient treated with phenothiazines CDC on The EKG in the patient treated with phenothiazines
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Healthcare Provider Resources
Symptoms of The EKG in the patient treated with phenothiazines Causes & Risk Factors for The EKG in the patient treated with phenothiazines Diagnostic studies for The EKG in the patient treated with phenothiazines Treatment of The EKG in the patient treated with phenothiazines
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