[Long QT syndrome after organophosphate insecticide poisoning].
A case of prolonged QT syndrome (PQTS) caused by unintentional poisoning with organic phosphate pesticides is reported in a 73 year old farmer. PQTS developed and coexisted with other symptoms of poisoning such as low levels of cholinesterase, vomitus, diarrhoea, miosis, hypersalivation and occurred with typical symptoms. Despite concomitant with PQTS advanced ventricular extrasystoles the most dangerous form of them--ventricular tachycardia "torsades de pointes"--wasn't observed what was attributed among other things to scrupulous control and replenishment of potassium++ and magnesium and avoidance of typical antiarhytmic drugs in ventricular arrhythmia+ treatment. Acquired (most often after drug treatment, toxic and resulting from electrolytic disturbances) forms of PQTS are discussed stressing their heterogeneity and necessity of preventive treatment (different, dependent on etiology).
Wozakowska-Kapłon
B
B
Klinicznego Oddziału Kardiologicznego Wojewódzkiego Szpitala Zespolonego w Kielcach.
Janion
M
M
Konstantynowicz
H
H
Buda
S
S
Gutkowski
W
W
D000368:Aged; D003131:Combined Modality Therapy; D004562:Electrocardiography; D005506:Food Contamination; D005517:Foodborne Diseases / Q000150:complications*; D006801:Humans; D007306:Insecticides / Q000506:poisoning*; D008133:Long QT Syndrome / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D009943:Organophosphorus Compounds
D007306:Insecticides; D009943:Organophosphorus Compounds
Zespół wydłuzonego QT w przebiegu zatrucia zwiazkami fosforoorganicznymi.