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There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Torsades in acquired long QT is much more likely in bradycardia because the QT interval following a long pause is longer still. malignant ventricular arrhythmias are present), rapid replacement of potassium is required.
Although the emergency physician (along with an APRN and an RN) had not seen any alterations in the rhythm after adenosine was pushed, a paper recording of the episode was subsequently unearthed. On the contrary — much ( if not most ) of the time, we begin arrhythmia treatment of a WCT before we know with 100% certainty what the rhythm is.
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