Publication
Title
Gastroenteritis with severe consequences: a case of sotalol-induced torsades de pointes
Author
Abstract
We present a case of sotalol-induced prolongation of the QT-interval with torsades de pointes in an octogenarian who was hospitalized because of gastroenteritis causing prerenal acute renal failure. Subsequent accumulation of sotalol caused a severe prolongation of the QT-interval on the surface ECG and ultimately torsades de pointes with loss of consciousness. The patient was successfully treated with temporary cardiac pacing, intravenous magnesium sulfate and definitive withdrawal of sotalol. The electrophysiological basis of the pro-arrhythmic properties of sotalol is reviewed in brief, additional risk factors are identified and treatment is outlined.
Language
English
Source (journal)
Acta cardiologica. - Bruxelles
Publication
Bruxelles : 2009
ISSN
0001-5385
Volume/pages
64:6(2009), p. 839-842
ISI
000273486700024
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 15.02.2010
Last edited 17.09.2017
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