Short-coupled variant of torsade de pointes

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), res...

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Bibliographic Details
Published in:	Netherlands heart journal Vol. 16; no. 7; pp. 246 - 249
Main Authors:	Bogaard, K., van der Steen, M. S., Tan, H. L., Tukkie, R.
Format:	Journal Article
Language:	English
Published:	Houten Bohn Stafleu van Loghum 01-08-2008
Subjects:	Cardiology Case Report Medical Education Medicine Medicine & Public Health pointes TdP short coupled torsade
Online Access:	Get full text
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Summary:	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.).
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1568-5888 1876-6250
DOI:	10.1007/BF03086155