Short-coupled variant of torsade de pointes.

Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
K BogaardR Tukkie

Abstract

A 36-year-old man with a history of primary sclerosing cholangitis and epilepsy was admitted to our hospital for cholangitis. During admission he was resuscitated because of ventricular fibrillation. ECGs showed multiple ventricular premature beats (VPBs) with a short coupling interval (240 ms), resulting in frequent torsade de pointes (TdP). In total, the patient had to be defibrillated 12 times. Short-coupled TdP is a rare variant of polymorphic ventricular tachycardia, with unknown aetiology. Verapamil seems to be the only drug able to suppress the arrhythmia. Verapamil, however, does not lower the risk of sudden death; therefore, an ICD implantation is advised. (Neth Heart J 2008;16:246-9.).

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Citations

Nov 3, 2010·Pacing and Clinical Electrophysiology : PACE·Katherine BurrowsJames A Roth
May 3, 2016·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Ana Rita GodinhoMaria Júlia Maciel
Oct 21, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Yusuke FujiiMinoru Horie
Oct 30, 2015·Oxford Medical Case Reports·Ana Isabel AzevedoVasco Gama Ribeiro
Dec 29, 2018·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Mohammed AlmehairiAhmed Alfagih
Apr 24, 2020·Pacing and Clinical Electrophysiology : PACE·Keiko SonodaMinoru Horie
Aug 20, 2008·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·E E van der Wall
Oct 1, 2019·Expert Opinion on Pharmacotherapy·Staniel OrtmansRafik Tadros
Feb 8, 2021·Journal of Electrocardiology·Raul Horacio GuillenMario D Gonzalez
Feb 2, 2021·World Journal of Clinical Cases·Rou ZhangYing-Li He
Mar 27, 2021·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Johannes SteinfurtHarilaos Bogossian
Nov 2, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Kevin WillyGerrit Frommeyer

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