Chiladakis John A, Spiroulias Georgios, Koutsogiannis Nikolaos, Zagli Fani, Alexopoulos Dimritrios
Cardiology Department, Patras University Hospital, Rion, Patras, Greece.
Hellenic J Cardiol. 2008 Sep-Oct;49(5):360-4.
This case report describes a 50-year-old woman with normal repolarization duration who survived multiple electrical storms and cardiac arrest related to recurrent short-coupled torsade de pointes (TdP). Overdrive ventricular pacing could not prevent malignant TdP, but exposed a pause-related TdP initiation pattern. Isoproterenol and atrial pacing completely suppressed TdP, suggesting that ventricular pacing may entail vulnerability to this condition.
本病例报告描述了一名50岁女性，其复极持续时间正常，在与复发性短联律尖端扭转型室性心动过速（TdP）相关的多次电风暴和心脏骤停中存活下来。超速心室起搏无法预防恶性TdP，但暴露了一种与停顿相关的TdP起始模式。异丙肾上腺素和心房起搏完全抑制了TdP，提示心室起搏可能会增加患此病的易感性。
