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Cocaine-Induced Torsades de Pointes in Idiopathic Long Q-T Syndrome

American Journal of TherapeuticsPublished 1 July 2001
Narpinder Singh, Harinder Singh, Parminder Singh, Ijaz A. Khan
Citations35
SJR quartileQ2
SJR score0.58
SNIP0.62

TL;DR

A case of torsades de pointes that was precipitated by substance abuse in a patient with idiopathic long Q-T syndrome and required several treatment modalities is presented.

Abstract

Torsades de pointes is a ventricular tachycardia characterized by the QRS complexes of changing amplitude that appear to twist around an isoelectric line. It usually precipitates in the setting of underlying Q-T interval prolongation, which has both congenital and acquired causes. The common acquired causes of torsades precipitation are medications, electrolyte imbalance, and severe bradycardia. This report presents a case of torsades de pointes that was precipitated by substance abuse in a patient with idiopathic long Q-T syndrome and required several treatment modalities.

Keywords

MedicineBiochemistry, Genetics and Molecular Biology