[Short coupled variant of "torsades de pointes" and sudden death].
A case report of 38 year old man who experienced syncope and torsade de pointes is presented with the short coupled variant. The patient had a normal QT interval (QTC: 0.37 seconds) and multiform ventricular premature beats on the resting electrocardiogram. Under antiarrhythmic treatment (intravenous xylocaine), torsades de pointes suddenly appeared and cardiac arrest was followed. After cardioversion, sinus rhythm was restored. A cardiovascular disease was excluded, the echocardiography, the left and right ventricular angiography and coronarography were normal. Three months after, the patient presented at home a sudden cardiac death.
Hentati
Mourad
M
CHU Hédi Chaker, Sfax, Tunisie.
Krichene
Selma
S
Kechida
Zohra
Z
Chahbani
Iheb
I
Hached
Leila
L
Grati
Zineb
Z
Charfeddine
Hanene
H
Kammoun
Samir
S
D000328:Adult; D003645:Death, Sudden / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D016171:Torsades de Pointes / Q000150:complications* / Q000503:physiopathology*