A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome.

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 Sci

authors

Kim NH,Cho JG,Ahn YK,Lee SU,Kim KH,Cho JH,Kim HG,Kim W,Jeong MH,Park JC,Kang JC

doi

10.3346/jkms.2001.16.3.355

keywords:

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

355-9

issue

3

eissn

1011-8934

issn

1598-6357

pii

200106355

journal_volume

16

pub_type

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