Bradycardia-Induced Recurrent Torsade de Pointes: When Serenity Turns into Chaosity | Zendy

Laksmi Senja Agusta | Zendy; Harnanik P. Riswati | Zendy; Rizal Rahmanda Akbar | Zendy; Ardian Rizal | Zendy

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Bradycardia-Induced Recurrent Torsade de Pointes: When Serenity Turns into Chaosity

Author(s) -

Laksmi Senja Agusta,

Harnanik P. Riswati,

Rizal Rahmanda Akbar,

Ardian Rizal

Publication year - 2018

Publication title -

international journal of cardiovascular practice

Language(s) - English

Resource type - Journals

eISSN - 2476-7174

pISSN - 2476-468X

DOI - 10.21859/ijcp-03045

Subject(s) - bradycardia , long qt syndrome , medicine , electrocardiography , tachycardia , repolarization , cardiology , ventricular tachycardia , qt interval , anesthesia , heart rate , electrophysiology , blood pressure

Torsade De Pointes is typical form of polymorphic ventricular tachycardia. It was in the setting of bradycardia when first described. We present a case of patient coming to emergency room with torsade de pointes development who was found to have bradycardia on basal electrocardiography record. In fact, bradycardia has been shown as a cause of acquired long QT syndrome that can lead to torsade de pointes. The inverse relationship between heart rate and repolarization time primarily accounts for QT prolongation. Finally, proper treatment considering electrophysiology mechanism is essential to prevent mortality.

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