Kukla Piotr, Bromblik Alicja, Malecka-Tomasik Danuta, Slowiak-Lewinska Teresa
Oddział Wewnetrzny, Szpitala Specjalistycznego im. Klimontowicza, Gorlice, Poland.
Kardiol Pol. 2003 May;58(5):390-3.
We present a case of a 65-year-old female admitted to the hospital due to severe intracranial hemorrhagia complicated by recurrences of polymorphic ventricular tachycardia of torsade de pointes type. ECG showed a marked prolongation of QT interval and giant U waves. The potassium level was 2.9 mmol/l and magnesium level - 0.6 mmol/l. Intravenous lidocaine and magnesium caused a complete supression of arrhythmia. Unfortunately, the patient died three days later due to cerebral damage and respiratory failure.
我们报告一例65岁女性患者，因严重颅内出血入院，并发尖端扭转型多形性室性心动过速复发。心电图显示QT间期明显延长及巨大U波。血钾水平为2.9 mmol/L，血镁水平为0.6 mmol/L。静脉注射利多卡因和镁后心律失常完全得到抑制。不幸的是，患者三天后因脑损伤和呼吸衰竭死亡。
