Which physical findings suggest torsade de pointes?

Updated: Jan 31, 2017
  • Author: Jatin Dave, MD, MPH; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

Answer

The physical findings in torsade depend on the rate and duration of tachycardia and the degree of cerebral hypoperfusion.

Findings include rapid pulse, low or normal blood pressure, or transient or prolonged loss of consciousness. This could be preceded by bradycardia or premature ventricular contractions (leading palpitations).

Pallor and diaphoresis may be noted, especially with a sustained episode.

Other physical signs depend on the etiology of torsade.


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