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Pregnancy and short-coupled torsades de pointes. Pacing Clin Electrophysiol 2013 Mar;36(3):e77-9

Date

11/03/2010

Pubmed ID

21039642

DOI

10.1111/j.1540-8159.2010.02923.x

Scopus ID

2-s2.0-84874785270 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

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 JA

Author

James A. Roth MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Amiodarone
Anti-Arrhythmia Agents
Combined Modality Therapy
Defibrillators, Implantable
Female
Humans
Pregnancy
Pregnancy Complications, Cardiovascular
Torsades de Pointes
Young Adult