A Case of Torsade de Pointes Associated with Hypopituitarism due to Hemorrhagic Fever with Renal Syndrome
Journal of Korean Medical Science
;
: 355-359, 2001.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Torsades de pointes
/
Tachycardie ventriculaire
/
Hormonothérapie substitutive
/
Fièvre hémorragique avec syndrome rénal
/
Hypopituitarisme
/
Adulte d'âge moyen
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Journal of Korean Medical Science
Année:
2001
Type:
Article
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