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- Si-Yu Cai, Shen-Feng Ye, Xiang Wu, Mei-Xiang Xiang, and Jian-An Wang.
- Department of Cardiology, 2nd Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. Electronic address: diovan@medmail.com.cn.
- J Electrocardiol. 2015 May 1; 48 (3): 450-4.
AbstractA case of torsade de pointes (TdP) with complete atrioventricular block and pacemaker failure that was misdiagnosed as epilepsy is presented herein. An 82-year-old female with recurrent seizure-like attacks showed epileptiform discharge during an electroencephalogram recording. A long QT interval and severe hypokalemia induced runs of TdP, which was related to pacemaker lead fracture, was detected during Holter recording and accompanied with episodes of seizures. After a DDD pacemaker with a new ventricular lead was replaced, there was no recurrence of any seizure-like attacks. Bradycardia-mediated TdP associated with complete atrioventricular block should not be missed in patients with recurrent seizure-like attacks even after pacemaker implantation.Copyright © 2015 Elsevier Inc. All rights reserved.
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