Hust M H, Nitsche K, Hohnloser S, Böhm B, Just H
Clin Cardiol. 1984 Jan;7(1):44-8. doi: 10.1002/clc.4960070110.
An extreme Q-T prolongation in a patient with subarachnoid hemorrhage was observed. Multiple torsades de pointes occurred. Lidocaine, metoprolol, and atropine were not effective in controlling the arrhythmia, whereas shortening the Q-T interval by intravenous administration of orciprenaline or overdrive ventricular pacing was successful. The occurrence of T wave alternations was a sign of increased sympathetic activity.
观察到一名蛛网膜下腔出血患者出现极长的Q-T间期。发生了多次尖端扭转型室速。利多卡因、美托洛尔和阿托品对控制心律失常无效,而通过静脉注射奥西那林或超速心室起搏缩短Q-T间期则取得了成功。T波交替的出现是交感神经活动增加的迹象。