Case 3

Ethan Krauspe, Richa Sheth

Case 3

24F with receiving antipsychotics and anti-emetics collapses on telemetry and is pulseless. 

Rhythm? Next Step?

EKG analysis

Polymorphic VT w Long QT = TdP. Defibrillate (and magnesium + overdrive pacing if brady after)

Excellent Life in the Fast Lane Summary

EKG analysis

Polymorphic VT (= TdP if QTc is long)

EKG analysis

Monomorphic VT

Learning Points

  • If pulseless, defibrillate. If unstable with pulse, synchronized cardioversion. If stable, Mg

  • QT prolongation more dangerous with slow HR

Return to Course Page