A case of a short-coupled variant of torsades de Pointes with electrical storm.
Pacing Clin Electrophysiol
; 26(2 Pt 1): 632-6, 2003 Feb.
Article
em En
| MEDLINE
| ID: mdl-12710326
ABSTRACT
This case report describes a short-coupled variant of Torsades de Pointes with a characteristic ECG pattern consisting of a prominent J wave in leads V3-V6, in which an electrical storm was evoked with autonomic receptor stimulation and a blockade test. The patient's frequent VF attacks were triggered by short-coupled premature ventricular contractions with a right bundle branch block morphology and left-axis deviation, and were suppressed by deep sedation followed by a combination therapy using verapamil and mexiletine. Interestingly, with the use of those drugs, the prominent J wave diminished. The mechanism underlying this syndrome is discussed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Torsades de Pointes
/
Eletrocardiografia
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Pacing Clin Electrophysiol
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Japão