Management of Torsades de Pointes:
- Immediate Treatment:
- IV Magnesium Sulfate: To stabilize the cardiac rhythm.
- Discontinuation of QT-prolonging drugs: If any are being taken.
- Further Management:
- Correction of electrolyte imbalances: Especially potassium and magnesium.
- Pacemaker or defibrillator: In recurrent cases or if the patient is at high risk of sudden cardiac death.
- Long-Term Management:
- Beta-blockers: For patients with congenital long QT syndrome.
- Avoidance of triggers: Such as certain medications and electrolyte imbalances.