Other

https://doi.org/10.20471/acc.2019.58.04.23

Torsades de Pointes in Elderly Patient with Paroxysmal Atrial Fibrillation Treated by Short-Term Parenteral Amiodarone Therapy

Nenad Lakušić ; Department of Cardiology, Krapinske Toplice Hospital for Medical Rehabilitation, Faculty of Medicine and Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia
Valentina Slivnjak ; Department of Internal Medicine, Krapinske Toplice Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
Nedeljko Ciglenečki ; Intensive Care Unit, Krapinske Toplice Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
Duško Cerovec ; Department of Cardiology, Krapinske Toplice Hospital for Medical Rehabilitation, Faculty of Medicine and Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia

Abstract

One of the drugs that are widely used in the treatment of atrial fibrillation is amiodarone. Despite considerable prolongation of the corrected QT interval and a substantial degree of bradycardia, amiodarone exhibits a remarkably low frequency of pro-arrhythmic events and <1.0% incidence of torsades de pointes, mostly after long-term usage. We present a case of an 80-year-old female with paroxysmal atrial fibrillation accompanied by acute heart failure treated by short-term parenteral amiodarone therapy and development of torsades de pointes.

Keywords

Torsades de pointes; Amiodarone; Atrial fibrillation; Bradycardia; Case reports

Hrčak ID:

235296

URI

https://hrcak.srce.hr/235296

Publication date:

1.12.2019.

Article data in other languages: croatian

Visits: 2.059 *