Abstract:
:We describe a 51-yr-old man presenting with syncope due to torsade de pointes. The torsade de pointes was refractory to conventional medical therapy, including infusion of isoproterenol, MgSO4, potassium, lidocaine, and amiodarone. His past history, physical findings, and hormone study confirmed that QT prolongation was caused by anterior hypopituitarism that developed as a sequela of hemorrhagic fever with renal syndrome. The long QT interval with deep inverted T wave was completely normalized 4 weeks after starting steroid and thyroid hormone replacement. Hormonal disorders should be considered as a cause of torsade de pointes, because this life-threatening arrhythmia can be treated by replacing the missing hormone.
journal_name
J Korean Med Scijournal_title
Journal of Korean medical scienceauthors
Kim NH,Cho JG,Ahn YK,Lee SU,Kim KH,Cho JH,Kim HG,Kim W,Jeong MH,Park JC,Kang JCdoi
10.3346/jkms.2001.16.3.355keywords:
subject
Has Abstractpub_date
2001-06-01 00:00:00pages
355-9issue
3eissn
1011-8934issn
1598-6357pii
200106355journal_volume
16pub_type
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