A Case of Torsade de Pointes Associated with Hypopituitarism due to Hemorrhagic Fever with Renal Syndrome
Journal of Korean Medical Science
;
: 355-359, 2001.
Artículo
en Inglés
| WPRIM
| ID: wpr-228338
ABSTRACT
We describe a 51-yr-old man presenting with syncope due to torsade de pointes. The torsade de pointes was refractory to conventional medical therapy, including infusion of isoproterenol, MgSO4, potassium, lidocaine, and amiodarone. His past history, physical findings, and hormone study confirmed that QT prolongation was caused by anterior hypopituitarism that developed as a sequela of hemorrhagic fever with renal syndrome. The long QT interval with deep inverted T wave was completely normalized 4 weeks after starting steroid and thyroid hormone replacement. Hormonal disorders should be considered as a cause of torsade de pointes, because this life-threatening arrhythmia can be treated by replacing the missing hormone.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Torsades de Pointes
/
Taquicardia Ventricular
/
Terapia de Reemplazo de Hormonas
/
Fiebre Hemorrágica con Síndrome Renal
/
Hipopituitarismo
/
Persona de Mediana Edad
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2001
Tipo del documento:
Artículo
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