Multifactorial QT Interval Prolongation and Takotsubo Cardiomyopathy
A 71-year-old woman collapsed while working as a grocery store cashier. CPR was performed and an AED revealed torsades de pointes (TdP). She was subsequently defibrillated resulting in restoration of sinus rhythm with a QTc interval of 544 msec. Further evaluation revealed a diagnosis of Takotsubo C...
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Wiley
2014-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2014/213842 |
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author | Michael Gysel Alexander Crystal Jules C. Hancox Michelle Methot Adrian Baranchuk |
author_facet | Michael Gysel Alexander Crystal Jules C. Hancox Michelle Methot Adrian Baranchuk |
author_sort | Michael Gysel |
collection | DOAJ |
description | A 71-year-old woman collapsed while working as a grocery store cashier. CPR was performed and an AED revealed torsades de pointes (TdP). She was subsequently defibrillated resulting in restoration of sinus rhythm with a QTc interval of 544 msec. Further evaluation revealed a diagnosis of Takotsubo Cardiomyopathy (TCM) contributing to the development of a multifactorial acquired long QT syndrome (LQTS). The case highlights the role of TCM as a cause of LQTS in the setting of multiple risk factors including old age, female gender, hypokalemia, and treatment with QT prolonging medications. It also highlights the multifactorial nature of acquired LQTS and lends support to growing evidence of an association with TCM. |
format | Article |
id | doaj-art-17f1ed70f7d84231ac5398e517b31db1 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-17f1ed70f7d84231ac5398e517b31db12025-02-03T01:23:51ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/213842213842Multifactorial QT Interval Prolongation and Takotsubo CardiomyopathyMichael Gysel0Alexander Crystal1Jules C. Hancox2Michelle Methot3Adrian Baranchuk4Department of Medicine, Kingston General Hospital, Queen’s University, Kingston, ON, K7L 3N6, CanadaDepartment of Medicine, Yale University, Bridgeport Hospital, Bridgeport, CT 06610, USASchool of Physiology and Pharmacology, University of Bristol, Bristol BS8 1TD, UKDepartment of Medicine, Kingston General Hospital, Queen’s University, Kingston, ON, K7L 3N6, CanadaDepartment of Medicine, Kingston General Hospital, Queen’s University, Kingston, ON, K7L 3N6, CanadaA 71-year-old woman collapsed while working as a grocery store cashier. CPR was performed and an AED revealed torsades de pointes (TdP). She was subsequently defibrillated resulting in restoration of sinus rhythm with a QTc interval of 544 msec. Further evaluation revealed a diagnosis of Takotsubo Cardiomyopathy (TCM) contributing to the development of a multifactorial acquired long QT syndrome (LQTS). The case highlights the role of TCM as a cause of LQTS in the setting of multiple risk factors including old age, female gender, hypokalemia, and treatment with QT prolonging medications. It also highlights the multifactorial nature of acquired LQTS and lends support to growing evidence of an association with TCM.http://dx.doi.org/10.1155/2014/213842 |
spellingShingle | Michael Gysel Alexander Crystal Jules C. Hancox Michelle Methot Adrian Baranchuk Multifactorial QT Interval Prolongation and Takotsubo Cardiomyopathy Case Reports in Cardiology |
title | Multifactorial QT Interval Prolongation and Takotsubo Cardiomyopathy |
title_full | Multifactorial QT Interval Prolongation and Takotsubo Cardiomyopathy |
title_fullStr | Multifactorial QT Interval Prolongation and Takotsubo Cardiomyopathy |
title_full_unstemmed | Multifactorial QT Interval Prolongation and Takotsubo Cardiomyopathy |
title_short | Multifactorial QT Interval Prolongation and Takotsubo Cardiomyopathy |
title_sort | multifactorial qt interval prolongation and takotsubo cardiomyopathy |
url | http://dx.doi.org/10.1155/2014/213842 |
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