• Missouri medicine · Jan 2010

    Review Case Reports

    Drug-induced QT prolongation and sudden death.

    • Marc E Del Rosario, Richard Weachter, and Greg C Flaker.
    • University of Missouri Hospital and Clinics, Division of Cardiovascular Medicine, USA.
    • Mo Med. 2010 Jan 1;107(1):53-8.

    AbstractProlongation of the QT interval can predispose to a potentially fatal polymorphic ventricular tachycardia called torsades de pointes (TdP). Although usually self-limited, TdP may degenerate into ventricular fibrillation and cause sudden death. Some medications that cause QT prolongation and possible TdP are commonly used in general practice. This paper presents a case of sudden death that is likely from drug-induced TdP. It reviews the mechanisms, risk factors, offending agents, and management of drug-induced torsades de pointes.

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