Understanding Cardiac Effects of Toxic Substances

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Explore the impact of toxic substances on myocardial cell action potential, focusing on the ECG changes induced by drugs like TCAs, chloroquine, antipsychotics, and more. Learn from Clinical Toxicologist Geoff Isbister about the key markers to look for in toxicology cases.

  • Cardiac effects
  • Toxic substances
  • Myocardial cell
  • ECG changes
  • Clinical toxicologist

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Presentation Transcript


  1. ECG IN TOXICOLOGY: What are we looking for? Geoff Isbister Clinical Toxicologist Calvary Mater Newcastle

  2. MYOCARDIALCELLACTIONPOTENTIAL ECG 1 +20mV 2 3 0 4 -90mV IC EC Na + ATPase K+ K+ K+ Ca + + Na + K + Quinidine like drugs (TCAs, chloroquine, antipsychotics, antiarrhythmics, antihistamines, etc) block Na+ & K+ channels

  3. MYOCARDIALCELLACTIONPOTENTIAL ECG 1 +20mV 2 3 0 4 -90mV IC EC Na + ATPase K+ K+ K+ Ca + + Na + K + Quinidine like drugs (TCAs, chloroquine, antipsychotics, antiarrhythmics, antihistamines, etc) block Na+ & K+ channels

  4. MYOCARDIALCELLACTIONPOTENTIAL ECG 1 +20mV 2 3 0 4 -90mV IC EC Na + ATPase K+ K+ K+ Ca + + Na + K +

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