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In-hospital monitoring of T-wave alternans in a case of amiodarone-induced torsade de pointes: clinical and methodologic insights.

Abstract
We report a case of macroscopic T-wave alternans occurring 30 min before the onset of amiodarone-induced torsade de pointes, illustrating a means to monitor for proarrhythmia.
AuthorsTomonori Kawaguchi, Nobuhiro Takasugi, Tomoki Kubota, Mieko Takasugi, Hiromitsu Kanamori, Hiroaki Ushikoshi, Arihiro Hattori, Takuma Aoyama, Masanori Kawasaki, Kazuhiko Nishigaki, Genzou Takemura, Shinya Minatoguchi, Richard L Verrier
JournalEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (Europace) Vol. 14 Issue 9 Pg. 1372-4 (Sep 2012) ISSN: 1532-2092 [Electronic] England
PMID22389418 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Arrhythmia Agents
  • Carbazoles
  • Propanolamines
  • Carvedilol
  • Magnesium
  • Amiodarone
Topics
  • Aged
  • Amiodarone (adverse effects)
  • Anti-Arrhythmia Agents (adverse effects)
  • Atrial Fibrillation (diagnosis, diagnostic imaging, drug therapy)
  • Bundle-Branch Block (diagnosis)
  • Carbazoles (therapeutic use)
  • Carvedilol
  • Electrocardiography (methods)
  • Heart Failure (drug therapy)
  • Humans
  • Hypertension, Pulmonary (drug therapy)
  • Magnesium (therapeutic use)
  • Male
  • Propanolamines (therapeutic use)
  • Torsades de Pointes (chemically induced, diagnostic imaging)
  • Treatment Outcome
  • Ultrasonography

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