Bradycardia-Induced Recurrent Torsade de Pointes: When Serenity Turns into Chaosity

authors:

avatar Laksmi Senja Agusta 1 , * , avatar Harnanik P. Riswati 1 , avatar Rizal R. Akbar 1 , avatar Ardian Rizal 2

General Practitioner of Wava Husada Hospital, Malang, East Java, Indonesia
Cardiologist and Arrythmia Consultant, Wava Husada Hospital, Malang, East Java, Indonesia

how to cite: Senja Agusta L , P. Riswati H, R. Akbar R, Rizal A. Bradycardia-Induced Recurrent Torsade de Pointes: When Serenity Turns into Chaosity. Int J Cardio Pract. 2018;3(4):e130274. doi: 10.21859/ijcp-03045.

Abstract

Torsade De Pointes is typical form of polymorphic ventricular tachycardia. It was in the setting of bradycardia when first described. We present a case of patient coming to emergency room with torsade de pointes development who was found to have bradycardia on basal electrocardiography record. In fact, bradycardia has been shown as a cause of acquired long QT syndrome that can lead to torsade de pointes. The inverse relationship between heart rate and repolarization time primarily accounts for QT prolongation. Finally, proper treatment considering electrophysiology mechanism is essential to prevent mortality.

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