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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. This was stented. Could the dysrhythmias have been prevented? Learning Points: 1.
His rhythm on telemetry seemed to be sinus bradycardia vs junctional rhythm. Telemetry initially was interpreted as showing sinus bradycardia vs a junctional rhythm. A quick POCUS which showed significantly reduced ejection fraction and trace B lines. What do you think? The estimated left ventricular ejection fraction is 40-45%.
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