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Algorithm for management of torsades de pointes
*Often defined as 1 or more of the following: systolic blood pressure <90 mmHg, heart rate > 150 beats per minute, unconscious or losing consciousness or chest pain.
†Polymorphic arrhythmias do not permit synchronization; therefore, defibrillation is recommended, rather than synchronized direct current cardioversion.35,36 Administer sedation when possible.
‡Even if patient is not hypomagnesemic
IV, intravenous; TdP, torsades de pointes.
