Torsade de pointes a couplage court compliquee d'une mort subite

ABSTRACT

A case report of 38 years old man who exprerienced syncope and torsade de pointes is presented with the short coupled variant. The patient had a normal QT interval [QTC 0,37 secondes] and multiform ventricular premature beats on the resting electrocardiogram. Under antiarrhythmic treatment [intavenous xylocain], torsades de pointes suddenly appeared and cardiac arrest was followed, After cordioversion, sinus rythm was restored. A cardiovascular disease was excluded, the echocordiography, the left and right venlncular angiography and coronarography were normal, Three months after, the patient presented at home a sudden cardiac death