Korean J Anesthesiol.
2011 Apr;60(4):294-297. 10.4097/kjae.2011.60.4.294.
Postanesthetic torsade de pointes in a patient with unrecognized long QT syndrome: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jaljary@naver.com
- KMID: 2092292
- DOI: http://doi.org/10.4097/kjae.2011.60.4.294
Abstract
- Torsade de pointes (TdP) is a devastating form of polymorphic ventricular arrhythmia associated with corrected QT (QTc) interval prolongation. TdP usually terminates spontaneously but frequently recurs and may degenerate to ventricular fibrillation. The present report describes a case of TdP in a patient being transferred to the postanesthetic care unit following an emergency laparoscopic appendectomy. The patient had undergone open heart surgery 1 week before. Retrospective electrocardiogram analysis revealed the patient had QTc and Tpeak-Tend interval prolongation that had gone unrecognized. We believe TdP may have been induced by accentuation of sympathetic nervous system during emergence from general anesthesia.
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Cited by 1 articles
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Ventricular arrhythmia in patients with prolonged QT interval during liver transplantation: two cases report
Min-Soo Kim, Na Young Kim, Ji Eun Park, Soon Ho Nam
Korean J Anesthesiol. 2014;67(6):416-420. doi: 10.4097/kjae.2014.67.6.416.
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