Giant drug-induced QT prolongation > 800 ms with alternans of terminal portion of T wave and J wave in a normothermic patient.

Abstract:

:We describe a case of an 85-year-old woman admitted to hospital because of syncope with palpitations. The patient had mistakenly taken sotalol 120 mg/d together with carvedilol 6.25 mg/d. On hospital admission, ECG showed sinus bradycardia 52 bpm with marked QT prolongation: QTc presented variability from beat to beat (840 ms - 640 ms - 820 ms - 640 ms, respectively) with associated macro-alternans of T wave. T wave alternans was observed within the ascending portion of negative T wave. Beside it a J wave was seen.

journal_name

Kardiol Pol

journal_title

Kardiologia polska

authors

Kukla P,Baranchuk A,Jastrzębski M,Bryniarski L,Baranowski R

doi

10.5603/KP.2013.0330

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

1306-7

issue

12

eissn

0022-9032

issn

1897-4279

pii

VM/OJS/KP/7534

journal_volume

71

pub_type

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