Lim Hong Euy, Pak Hui-Nam, Ahn Jeong Cheon, Song Woo Hyuk, Kim Young-Hoon
Division of Cardiology, Korea University Cardiovascular Center, Ansan Hospital, 516 Gojan-1-Dong, Danwon-ku, Ansan 425-707, Republic of Korea.
Europace. 2006 Dec;8(12):1051-3. doi: 10.1093/europace/eul118.
Although amiodarone appears to have few pro-arrhythmic effects, torsade de pointes (TdP) has been observed during long-term drug administration, usually in conjunction with electrolyte disturbances, a change in drug dosage, or concomitant drug therapy. We report two cases of amiodarone-induced TdP shortly after administration of a low dose of oral amiodarone, in the absence of predisposing factors.
尽管胺碘酮似乎几乎没有促心律失常作用,但在长期用药过程中曾观察到尖端扭转型室性心动过速(TdP),通常与电解质紊乱、药物剂量变化或合并用药有关。我们报告两例在给予低剂量口服胺碘酮后不久发生胺碘酮诱发TdP的病例,且不存在诱发因素。