Torsades de pointes: A case with multiple variables

被引:17
作者
Khan, IA [1 ]
Win, MT [1 ]
Bali, AJ [1 ]
Vasavada, BC [1 ]
Sacchi, TJ [1 ]
机构
[1] Long Isl Coll Hosp, Dept Med, Div Cardiol, Brooklyn, NY USA
关键词
Torsades de pointes; long QT syndrome; cocaine; bradycardia; hypomagnesemia; hypokalemia; HIV disease;
D O I
10.1016/S0735-6757(99)90025-6
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Torsades de pointes is a polymorphic ventricular tachycardia that displays a unique electrocardiographic feature of twisting of the mean electrical axis of QRS complexes around an isoelectric line on the surface electrocardiogram. It is associated with long QT syndrome and has many precipitating mechanisms, etiologic factors, and treatment options. This report presents a case of torsades de pointes that was precipitated by multiple factors and required many treatment modalities. The patient in this case exhibited features of both congenital and acquired types of long QT syndrome. Copyright (C) 1999 by W,B. Saunders Company.
引用
收藏
页码:80 / 85
页数:6
相关论文
共 22 条
[1]   DRUG-THERAPY FOR TORSADE-DE-POINTES [J].
BANAI, S ;
TZIVONI, D .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1993, 4 (02) :206-210
[2]   COCAINE - A REVIEW OF ITS TOXIC ACTIONS ON CARDIAC-FUNCTION [J].
BILLMAN, GE .
CRITICAL REVIEWS IN TOXICOLOGY, 1995, 25 (02) :113-132
[3]   COMPARISON OF PREHOSPITAL MONOMORPHIC AND POLYMORPHIC VENTRICULAR-TACHYCARDIA - PREVALENCE, RESPONSE TO THERAPY, AND OUTCOME [J].
BRADY, W ;
MELDON, S ;
DEBEHNKE, D .
ANNALS OF EMERGENCY MEDICINE, 1995, 25 (01) :64-70
[4]   PREHOSPITAL POLYMORPHIC VENTRICULAR-TACHYCARDIA [J].
BRADY, W ;
MELDON, S ;
DEBEHNKE, D .
ANNALS OF EMERGENCY MEDICINE, 1993, 22 (08) :1368-1368
[5]  
Dessertenne F, 1966, Arch Mal Coeur Vaiss, V59, P263
[6]  
Gladman G, 1996, CAN J CARDIOL, V12, P683
[7]   Implantable cardioverter defibrillator therapy in a patient with the idiopathic long QT syndrome [J].
Gronefeld, G ;
Holtgen, R ;
Hohnloser, SH .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1996, 19 (08) :1260-1263
[8]   TORSADES DE POINTES - ELECTROPHYSIOLOGIC STUDIES IN PATIENTS WITHOUT TRANSIENT PHARMACOLOGIC OR METABOLIC ABNORMALITIES [J].
HOROWITZ, LN ;
GREENSPAN, AM ;
SPIELMAN, SR ;
JOSEPHSON, ME .
CIRCULATION, 1981, 63 (05) :1120-1128
[9]  
KAY GN, 1983, J AM COLL CARDIOL, V2, P806
[10]   Age-gender influence on the rate-corrected QT interval and the QT-heart rate relation in families with genotypically characterized long QT syndrome [J].
Lehmann, MH ;
Timothy, KW ;
Frankovich, D ;
Fromm, BS ;
Keating, M ;
Locati, EH ;
Taggart, RT ;
Towbin, JA ;
Moss, AJ ;
Schwartz, PJ ;
Vincent, GM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (01) :93-99