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Emerg Med J 2002;19:485-486 doi:10.1136/emj.19.5.485
  • Case report

Torsade de pointes

  1. P T Munro,
  2. C A Graham
  1. Department of Accident and Emergency Medicine, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK
  1. Correspondence to:
 Dr P T Munro;
 PHIL.MUNRO{at}sgh.scot.nhs.uk
  • Accepted 6 November 2001

Abstract

A case is described of torsade de pointes in a 41 year old woman with pre-existing QTc prolongation, potentially exacerbated by treatment with sotalol. Previous cardiac investigations had been normal and after a second episode of ventricular fibrillation the patient was referred for electrophysiological studies. The authors review the physiology, causes, and treatment of QTc prolongation and torsade de pointes.

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