Postpartum torsades de pointes and long QT syndrome.
This article reports the case of a puerperal patient admitted with diagnosis of urinary tract infection and heart failure. This condition evolved with torsades de pointes ventricular arrhythmias, then, hypokalemia, and use of Ciprofloxacin. Ventricular arrhythmias did not present any improvement after potassium and magnesium replacement, but after implantation of temporary pacemaker, this condition showed signs of improvement. The patient was discharged with QTc at 490 ms, taking Propranolol.
Barcelos
Alexandre Maulaz
AM
Hospital São José do Avai, Itaperuna, Rio de Janeiro, Brasil. alexmaulaz@msn.com
Teixeira
Marco Antônio
MA
Maia
Marcelo da Costa
Mda C
Camanho
Luiz Eduardo Montenegro
LE
Assumpção
Otávio Queiroz
OQ
D005260:Female; D006801:Humans; D008133:Long QT Syndrome / Q000175:diagnosis* / Q000628:therapy; D010138:Pacemaker, Artificial; D049590:Postpartum Period; D016171:Torsades de Pointes / Q000175:diagnosis* / Q000628:therapy; D055815:Young Adult