| Torsade de pointes and syncopal attacks in a 26-year old woman with congenital complete heart block and prolonged QT interval. | |
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MedLine Citation:
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PMID: 2371586 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 26-year old woman with congenital complete heart block and prolonged QT interval presented for the first time with syncopal attacks associated with torsade de pointes in adulthood. Cardioversion followed by overdrive pacing was needed to finally control the unstable rhythm. During episodes of non-capture, paraoxysms of torsade de pointes leading to ventricular flutter were recorded by a 24-hour ambulatory electrocardiographic monitoring. Beta-blockade and permanent ventricular pacing finally abolished both the syncopal attacks and the torsade phenomena. The prognosis of congenital complete heart block associated with QT prolongation resembles that of the Romano-Ward syndrome. Recognition of this variant would facilitate earlier treatment of this rare but potentially lethal disorder. |
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Authors:
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D K Quek; S B Ong |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Singapore medical journal Volume: 31 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 1990 Apr |
Date Detail:
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Created Date: 1990-08-23 Completed Date: 1990-08-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: SINGAPORE |
Other Details:
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Languages: eng Pagination: 185-8 Citation Subset: IM |
Affiliation:
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Department of Medicine, National University of Malaysia, Kuala Lumpur. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arrhythmias, Cardiac / complications* Electrocardiography Female Heart Block / complications, congenital* Humans Long QT Syndrome / complications*, diagnosis Monitoring, Physiologic Prognosis Syncope / diagnosis, etiology* Tachycardia / diagnosis, etiology* |
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