Torsades de pointes ekg examples

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

EKG Examples

Shown below is an example of an ECG depicting wide QRS complexes in a twisted manner suggesting torsades de pointes.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Shown below is an example of an ECG showing an upper tracing with wide QRS complexes in a twisted manner indicating torsades de pointes and a lower tracing showing ventricular fibrillation.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Shown below is an example of an ECG showing arrhythmias in a patient with short coupled torsade de pointes[1]

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Shown below is an example of an ECG showing arrhythmias in a patient with short coupled torsades de pointes degenerating in ventricular fibrillation[1]

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Shown below is an example of an ECG showing arrhythmias in a patient with short coupled torsade de pointes: frequent short coupled extrasystoles[1]

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Shown below is an example of an ECG showing arrhythmias in a patient with short coupled torsade de pointes: frequent short coupled extrasystoles [1]

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


Shown below is an example of an ECG showing torsades de pointes[2]

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org


The ECG below is the characteristic tracing showing the "twisting" (blue line) of Torsade de pointes

Copyleft image obtained courtesy of Dr. C. Michael Gibson, MD.

References

  1. 1.0 1.1 1.2 1.3 Leenhardt A, Glaser E, Burguera M, Nuernberg M, Maison-Blanche P, and Coumel P. Short-coupled variant of torsade de pointes. A new electrocardiographic entity in the spectrum of idiopathic ventricular tachyarrhythmias. Circulation 1994 Jan; 89(1) 206-15. PMID 8281648
  2. Khan IA. Twelve-lead electrocardiogram of torsade de pointes Tex Heart Inst J. 2001; 28 (1): 69. PMID 11330748

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