title: [Acquired long QT syndrome and cardiac arrest after general anesthesia. Case report and review of literature].
abstract: A 30-year-old woman, with no medical history, is operated on for breast implants. In recovery room, an episode of torsade de pointes occurs, progressing to ventricular fibrillation. The ECG after cardiopulmonary resuscitation and conversion to a normal sinus rhythm shows a corrected QT interval prolongation, whereas it is normalized after 48hours. We hypothesize that a ventricular fibrillation occurred after a torsade de pointes, due to drug-induced long QT syndrome during general anesthesia, with probably drug interaction.
authors.affiliation: Service de cardiologie, CHU de Dijon, 14, boulevard Gaffarel, BP 77908, 21079 Dijon cedex, France.
authors.forename: T
authors.initials: T
authors.lastname: Leclercq
authors.affiliation: Service d'anesthésiologie, CHU de Dijon, 14, boulevard Gaffarel, BP 77908, 21079 Dijon cedex, France. Electronic address: parrel.stephanie@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Parrel
authors.affiliation: Service d'anesthésiologie, clinique Bénigne-Joly, 4, allée Roger-Renard, 21240 Talant, France.
authors.forename: S
authors.initials: S
authors.lastname: Mierdl
authors.affiliation: Service de cardiologie, CHU de Dijon, 14, boulevard Gaffarel, BP 77908, 21079 Dijon cedex, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Cottin
authors.affiliation: Service d'anesthésiologie, CHU de Dijon, 14, boulevard Gaffarel, BP 77908, 21079 Dijon cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Girard
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D019928:Breast Implantation / Q000379:methods; D016887:Cardiopulmonary Resuscitation; D004562:Electrocardiography; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008133:Long QT Syndrome / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D016171:Torsades de Pointes / Q000139:chemically induced / Q000628:therapy; D014693:Ventricular Fibrillation / Q000628:therapy
chemical_list: D000319:Adrenergic beta-Antagonists
keywords: Acquired long QT syndrome; Anesthésie générale; Arrêt cardiorespiratoire; Cardiac arrest; General anesthesia; QT long acquis; Torsade de pointes