Pregnancy and short-coupled torsades de pointes. Pacing Clin Electrophysiol 2013 Mar;36(3):e77-9
Date
11/03/2010Pubmed ID
21039642DOI
10.1111/j.1540-8159.2010.02923.xScopus ID
2-s2.0-84874785270 (requires institutional sign-in at Scopus site) 11 CitationsAbstract
This 24-year-old woman had incessant polymorphic ventricular tachycardia (PVT) during week 24 of her pregnancy and received over 200 implantable cardioverter-defibrillator discharges. She failed to respond to quinidine, magnesium, isoproterenol, amiodarone, esmolol, and cilostazol during her PVT storm, although her dramatic response to verapamil was consistent with the diagnosis of short-coupled variant of torsades de pointes. The case illustrated the utility of extracorporeal membrane oxygenation during refractory PVT, while attempting diagnostic and therapeutic pharmacologic maneuvers.
Author List
Burrows K, Fox J, Biblo LA, Roth JAAuthor
James A. Roth MD Associate Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AmiodaroneAnti-Arrhythmia Agents
Combined Modality Therapy
Defibrillators, Implantable
Female
Humans
Pregnancy
Pregnancy Complications, Cardiovascular
Torsades de Pointes
Young Adult