Up until September I had an additional job working for another bar too, where they paid me nightly in $50 cash, including tipsâ¦ not much considering I would drive there after an eight hour work day at my full time job, and then stay until closing time (which was usually about 3am).
Cardiac tamponade is pressure on the heart muscle which occurs when the pericardial space fills up with fluid faster than the pericardial sac can stretch. If the amount of fluid increases slowly (such as in hypothyroidism) the pericardial sac can expand to contain a liter or more of fluid prior to tamponade occurring.
Torsades de pointes, a French term that literally means twisting of the points, is a lethal form of ventricular tachycardia named for its hallmark feature: polymorphic QRS complexes that appear to twist around the isoelectric line. Without treatment, few patients survive Torsades de pointes (TdP) once it develops. The key to preventing sudden cardiac death lies in early detection of warning signs. TdP is easily distinguishable from conventional ventricular tachycardia (VT), which has monomorphic QRS complexes.