PT - JOURNAL ARTICLE AU - P T Munro AU - C A Graham TI - Torsade de pointes AID - 10.1136/emj.19.5.485 DP - 2002 Sep 01 TA - Emergency Medicine Journal PG - 485--486 VI - 19 IP - 5 4099 - http://emj.bmj.com/content/19/5/485.short 4100 - http://emj.bmj.com/content/19/5/485.full SO - Emerg Med J2002 Sep 01; 19 AB - 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.