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Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report-

Torsade de pointes (TdP) is a devastating form of polymorphic ventricular arrhythmia associated with corrected QT (QTc) interval prolongation. TdP usually terminates spontaneously but frequently recurs and may degenerate to ventricular fibrillation. The present report describes a case of TdP in a pa...

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Autores principales: Lee, Jae-Young, Lee, Ju-Hyun, An, Eun-Hye, Song, Jun-Gol, Park, Pyung Hwan
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3092967/
https://www.ncbi.nlm.nih.gov/pubmed/21602982
http://dx.doi.org/10.4097/kjae.2011.60.4.294
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author Lee, Jae-Young
Lee, Ju-Hyun
An, Eun-Hye
Song, Jun-Gol
Park, Pyung Hwan
author_facet Lee, Jae-Young
Lee, Ju-Hyun
An, Eun-Hye
Song, Jun-Gol
Park, Pyung Hwan
author_sort Lee, Jae-Young
collection PubMed
description Torsade de pointes (TdP) is a devastating form of polymorphic ventricular arrhythmia associated with corrected QT (QTc) interval prolongation. TdP usually terminates spontaneously but frequently recurs and may degenerate to ventricular fibrillation. The present report describes a case of TdP in a patient being transferred to the postanesthetic care unit following an emergency laparoscopic appendectomy. The patient had undergone open heart surgery 1 week before. Retrospective electrocardiogram analysis revealed the patient had QTc and Tpeak-Tend interval prolongation that had gone unrecognized. We believe TdP may have been induced by accentuation of sympathetic nervous system during emergence from general anesthesia.
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spelling pubmed-30929672011-05-20 Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report- Lee, Jae-Young Lee, Ju-Hyun An, Eun-Hye Song, Jun-Gol Park, Pyung Hwan Korean J Anesthesiol Case Report Torsade de pointes (TdP) is a devastating form of polymorphic ventricular arrhythmia associated with corrected QT (QTc) interval prolongation. TdP usually terminates spontaneously but frequently recurs and may degenerate to ventricular fibrillation. The present report describes a case of TdP in a patient being transferred to the postanesthetic care unit following an emergency laparoscopic appendectomy. The patient had undergone open heart surgery 1 week before. Retrospective electrocardiogram analysis revealed the patient had QTc and Tpeak-Tend interval prolongation that had gone unrecognized. We believe TdP may have been induced by accentuation of sympathetic nervous system during emergence from general anesthesia. The Korean Society of Anesthesiologists 2011-04 2011-04-26 /pmc/articles/PMC3092967/ /pubmed/21602982 http://dx.doi.org/10.4097/kjae.2011.60.4.294 Text en Copyright © the Korean Society of Anesthesiologists, 2011 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Jae-Young
Lee, Ju-Hyun
An, Eun-Hye
Song, Jun-Gol
Park, Pyung Hwan
Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report-
title Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report-
title_full Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report-
title_fullStr Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report-
title_full_unstemmed Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report-
title_short Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome -A case report-
title_sort postanesthetic torsade de pointes in a patient with unrecognized long qt syndrome -a case report-
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3092967/
https://www.ncbi.nlm.nih.gov/pubmed/21602982
http://dx.doi.org/10.4097/kjae.2011.60.4.294
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