Short coupled torsade de pointes: Critical timing of the ventricular premature beats

Raul Horacio Guillen, Camila Chort, Luis Mantilla, Chenni S. Sriram, Mario D. Gonzalez

Research output: Contribution to journalArticlepeer-review

Abstract

In this case report, we describe a 73 year old female with structuraly normal heart that developed shortcoupled torsades de pointes (TdP) resulting in an electrical storm unresponsible to several antiarrhythmic drugs, but fully controlled with verapamil. The critical timing of the ventricular premature beats that initiated TdP corresponded to those that occurred at the peak of the previous T wave. This behavior differentiates this entity from other forms of malignant ventricular arrhythmias in patients with structurally normal heart. It is imperative that the clinical set-up and unique electrocardiographic fingerprint of this unusual malignant entity be assiduously recognized since verapamil can be life-saving in this condition.

Original languageEnglish (US)
Pages (from-to)69-72
Number of pages4
JournalJournal of Electrocardiology
Volume65
DOIs
StatePublished - Mar 1 2021

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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