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A good excuse for skipping the test: electrical storm in a teenager

We describe the case of a teenager with a structurally normal heart that presented with torsades de pointes and cardiac arrest. He had a history of epilepsy in childhood, mild cognitive impairment and cognitive visual dysfunction. The baseline electrocardiogram had prominent J waves and a marked ear...

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Detalles Bibliográficos
Autores principales: Rodrigues, Patrícia, Pinheiro-Vieira, António, Loureiro, Marília, Álvares, Sílvia, Anjo, Diana, Roque, Carla, Sousa, Maria João, Torres, Severo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5184841/
https://www.ncbi.nlm.nih.gov/pubmed/28031851
http://dx.doi.org/10.1093/omcr/omw086
Descripción
Sumario:We describe the case of a teenager with a structurally normal heart that presented with torsades de pointes and cardiac arrest. He had a history of epilepsy in childhood, mild cognitive impairment and cognitive visual dysfunction. The baseline electrocardiogram had prominent J waves and a marked early repolarization pattern in all the leads, with normal QT interval. We discuss the differential diagnosis for this interesting case, as well as the patient's management.