IBCC Episode 12 - Torsades De Pointes

This podcast episode focuses on the diagnosis and treatment of Torsades de Pointes (TdP). The discussion clarifies the distinction between Torsade, which involves a prolonged QT interval, and non-Torsade polymorphic VT, which requires a different treatment approach. The speakers emphasize immediate defibrillation for unstable patients and recommend high doses of magnesium to prevent recurrence, targeting levels between 3 and 5 mg/dL, while also maintaining healthy potassium levels above 4. They caution against using amiodarone, which can worsen QT prolongation, and advocate for a systematic magnesium infusion protocol to ensure consistent treatment. Additional therapies mentioned include lidocaine and chronotropy via electrical pacing or infusions like isoproterenol or epinephrine.