New-onset QT prolongation and torsades de pointes accompanied by left ventricular dysfunction secondary to acute pancreatitis.
A 70-year-old woman presented with acute pancreatitis and new-onset QT prolongation with subsequent torsades de pointes. Coronary catheterization was performed and was unremarkable. After persistent QT prolongation, despite temporary atrial pacing, a permanent dual chamber cardioverter defibrillator was implanted. In addition to the QT prolongation, significant depression in the left ventricular function was noted. Both resolved once the pancreatitis abated.
Mofrad
Pirooz S
PS
Division of Cardiology, Georgetown University Hospital, Washington, DC 20007, USA.
Rashid
Haroon
H
Tracy
Cynthia M
CM
D000208:Acute Disease; D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D017147:Defibrillators, Implantable; D005260:Female; D006801:Humans; D008133:Long QT Syndrome / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D010195:Pancreatitis / Q000150:complications* / Q000601:surgery; D016171:Torsades de Pointes / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy