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HERDIN Record #: NCR-TMC-16071414060069 Submitted: 14 July 2016 Modified: 23 March 2018

Case report: Short-coupled Torsades de Pointes in a 25 year-old female.

Torsades de pointes ("twisting of the points") is a potentially life-threatening form of polymorphic ventricular tachycardia which displays on the electrocardiogram (ECG) as a characteristic feature of beat-to-beat varying QRS morphology prone to revert spontaneously (CHiladakis et al., 2008). It is characterized by a gradual change in the amplitude and twisting of the QRS complexes around the isoelectric line. It is associated with a prolonged QT interval, which may be congenital or acquired. Although it may spontaneously resolve, it frequently recurs and may degenerate into ventricular fibrilation (Dave, 2011).

The prevalence of torsade de pointes overall is unknown. This arrhythmia is life-threatening arrhythmia and may present as sudden cardiac death in patients with structurally normal hearts. In the United Staes, 300,000 sudden cardiac deaths occur per year. Torsade probably aacounts for fewer than 5% (Dave, 2011). 

We report a case of a 25-year old female with no know comorbids, vices, no intake of medications, no history of structural heart disease who survived multiple episodes of cardiopulmonary arrest secondary to this kind of malignant arrhythmia. 

Publication Type
Research Report
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