title: Late proarrhythmia on sotalol therapy triggered by emotional stress.
abstract: We present a case of significant QTc prolongation with torsade de pointes in a female patient with a DDD pacemaker, who had been treated with an established dose of sotalol for two years. The most probable trigger factor of this adverse event was a strong emotional stress. The discontinuation of treatment with sotalol resulted in clinical recovery and QTc normalisation.
authors.affiliation: 1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland. hanna.baszynska@skpp.edu.pl
authors.forename: Hanna
authors.initials: H
authors.lastname: Wachowiak-Baszyńska
authors.forename: Ewa
authors.initials: E
authors.lastname: Straburzyńska-Migaj
authors.forename: Romuald
authors.initials: R
authors.lastname: Ochotny
authors.forename: Stefan
authors.initials: S
authors.lastname: Grajek
mesh_terms: D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D013015:Sotalol / Q000627:therapeutic use*; D013315:Stress, Psychological / Q000150:complications*; D016171:Torsades de Pointes / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*
chemical_list: D000889:Anti-Arrhythmia Agents; D013015:Sotalol