A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.

We describe a 51-yr-old man presenting with syncope due to torsade de pointes. The torsade de pointes was refractory to conventional medical therapy, including infusion of isoproterenol, MgSO4, potassium, lidocaine, and amiodarone. His past history, physical findings, and hormone study confirmed tha...

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Detalles Bibliográficos
Autores principales: Kim, N. H., Cho, J. G., Ahn, Y. K., Lee, S. U., Kim, K. H., Cho, J. H., Kim, H. G., Kim, W., Jeong, M. H., Park, J. C., Kang, J. C.
Formato: Texto
Lenguaje:English
Publicado: Korean Academy of Medical Sciences 2001
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054759/
https://www.ncbi.nlm.nih.gov/pubmed/11410700
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author Kim, N. H.
Cho, J. G.
Ahn, Y. K.
Lee, S. U.
Kim, K. H.
Cho, J. H.
Kim, H. G.
Kim, W.
Jeong, M. H.
Park, J. C.
Kang, J. C.
author_facet Kim, N. H.
Cho, J. G.
Ahn, Y. K.
Lee, S. U.
Kim, K. H.
Cho, J. H.
Kim, H. G.
Kim, W.
Jeong, M. H.
Park, J. C.
Kang, J. C.
author_sort Kim, N. H.
collection PubMed
description We describe a 51-yr-old man presenting with syncope due to torsade de pointes. The torsade de pointes was refractory to conventional medical therapy, including infusion of isoproterenol, MgSO4, potassium, lidocaine, and amiodarone. His past history, physical findings, and hormone study confirmed that QT prolongation was caused by anterior hypopituitarism that developed as a sequela of hemorrhagic fever with renal syndrome. The long QT interval with deep inverted T wave was completely normalized 4 weeks after starting steroid and thyroid hormone replacement. Hormonal disorders should be considered as a cause of torsade de pointes, because this life-threatening arrhythmia can be treated by replacing the missing hormone.
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spelling pubmed-30547592011-03-15 A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome. Kim, N. H. Cho, J. G. Ahn, Y. K. Lee, S. U. Kim, K. H. Cho, J. H. Kim, H. G. Kim, W. Jeong, M. H. Park, J. C. Kang, J. C. J Korean Med Sci Research Article We describe a 51-yr-old man presenting with syncope due to torsade de pointes. The torsade de pointes was refractory to conventional medical therapy, including infusion of isoproterenol, MgSO4, potassium, lidocaine, and amiodarone. His past history, physical findings, and hormone study confirmed that QT prolongation was caused by anterior hypopituitarism that developed as a sequela of hemorrhagic fever with renal syndrome. The long QT interval with deep inverted T wave was completely normalized 4 weeks after starting steroid and thyroid hormone replacement. Hormonal disorders should be considered as a cause of torsade de pointes, because this life-threatening arrhythmia can be treated by replacing the missing hormone. Korean Academy of Medical Sciences 2001-06 /pmc/articles/PMC3054759/ /pubmed/11410700 Text en
spellingShingle Research Article
Kim, N. H.
Cho, J. G.
Ahn, Y. K.
Lee, S. U.
Kim, K. H.
Cho, J. H.
Kim, H. G.
Kim, W.
Jeong, M. H.
Park, J. C.
Kang, J. C.
A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.
title A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.
title_full A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.
title_fullStr A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.
title_full_unstemmed A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.
title_short A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.
title_sort case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054759/
https://www.ncbi.nlm.nih.gov/pubmed/11410700
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