Torsades de pointes ekg examples

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

For the main page on torsades de pointes, click here.

EKG Examples

Shown below is an EKG with wide QRS complexes that appear to twist around the isoelectric axis, suggesting torsades de pointes.

Torsades de Pointes.1.3.2.jpg

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


Shown below is an EKG with wide QRS complexes that appear to twist around the isoelectric axis indicating torsades de pointes.

Torsades de Pointes.1.4.1.jpg

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


Shown below is an EKG depicting polymorphic ventricular tachycardia, with complexes that appear to twist around the isoelectric axis, indicating torsades de pointes.

Torsades de Pointes.1.4.2.jpg

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


Shown below is an EKG depicting torsades de pointes.

Torsades de Pointes.1.5.1.jpg

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


Shown below is an EKG depicting arrhythmias in a patient with short coupled torsade de pointes[1]

Shortcoupled tdp1.jpg

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


Shown below is an EKG depicting arrhythmias in a patient with short coupled torsades de pointes degenerating in ventricular fibrillation[1]

Shortcoupled tdp2.jpg

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


Shown below is an EKG depicting arrhythmias in a patient with short coupled torsade de pointes: frequent short coupled extrasystoles[1]

Shortcoupled tdp3.jpg

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


Shown below is an EKG depicting arrhythmias in a patient with short coupled torsade de pointes: frequent short coupled extrasystoles [1]

Shortcoupled tdp4.jpg

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


Shown below is an EKG depicting torsades de pointes[2]

12leadTorsade.jpg

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


Shown below is an EKG with a tracing to help show the twisting (blue line) pattern of complexes seen in torsade de pointes.

Tosadesdepointes.jpg

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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