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International Journal of Cardiovascular Practice
Bradycardia-Induced Recurrent Torsade de Pointes: When Serenity Turns into Chaosity
Author(s):
1General Practitioner of Wava Husada Hospital, Malang, East Java, Indonesia
2Cardiologist and Arrythmia Consultant, Wava Husada Hospital, Malang, East Java, Indonesia
*Corresponding Author: Corresponding author: General Practitioner of Wava Husada Hospital, Malang, East Java, Indonesia. E-mail: Email: [email protected]
Published online:Dec 20, 2018
Article type:Case Report
Received:Oct 30, 2018
Accepted:Dec 03, 2018
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 Cardiovasc Pract. 2018;3(4):e130274. doi: https://doi.org/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.
Copyright
© 2018, International Journal of Cardiovascular Practice. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
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