» Articles » PMID: 22474460

Torsade De Pointes and Persistent QTc Prolongation After Intravenous Amiodarone

Overview
Journal Case Rep Med
Publisher Wiley
Specialty General Medicine
Date 2012 Apr 5
PMID 22474460
Citations 3
Authors
Affiliations
Soon will be listed here.
Abstract

We report a case of torsade de pointes after intravenous amiodarone and concurrent hypokalemia. Despite treatment cessation and correction of electrolyte abnormalities, excessive QTc prolongation was noted, which persisted for 14 days. This prolonged course for QTc normalization may be attributed to the high rate of amiodarone loading and concurrent electrolyte disturbances coupled with possible underlying individual variability in pharmacokinetics.

Citing Articles

Acute Peripheral Motor Neuropathy Induced by Oxaliplatin-Correlated Hypokalaemia.

Giampieri R, Maccaroni E, Sotte V, Baleani M, Meletani T, Giglio E Oncol Ther. 2020; 8(1):161-169.

PMID: 32700068 PMC: 7360012. DOI: 10.1007/s40487-019-00102-3.


ECG Diagnosis: Ibutilide-induced Torsade de Pointes.

Le D, Levis J, Lugovskaya N, Vinson D Perm J. 2019; 23.

PMID: 30939273 PMC: 6380474. DOI: 10.7812/TPP/18-187.


Torsades de Pointes in Severe Alcohol Withdrawal and Cirrhosis: Implications for Risk Stratification and Management.

Yamamoto T, Friedman S Fed Pract. 2019; 34(1):38-41.

PMID: 30766231 PMC: 6372036.

References
1.
Andreasen F, Agerbaek H, Bjerregaard P, GOTZSCHE H . Pharmacokinetics of amiodarone after intravenous and oral administration. Eur J Clin Pharmacol. 1981; 19(4):293-9. DOI: 10.1007/BF00562807. View

2.
Keivanidou A, Arnaoutoglou C, Krommydas A, Papanikolaou G, Tsiptses K, Chrisopoulos C . Ciprofloxacin induced acquired long QT syndrome in a patient under class III antiarrhythmic therapy. Cardiol J. 2009; 16(2):172-4. View

3.
Badshah A, Mirza B, Janjua M, Nair R, Steinman R, Cotant J . Amiodarone-induced torsade de pointes in a patient with wolff-Parkinson-White syndrome. Hellenic J Cardiol. 2009; 50(3):224-6. View

4.
Thomas S, Guy D, Wallace E, Crampton R, Kijvanit P, Eipper V . Rapid loading of sotalol or amiodarone for management of recent onset symptomatic atrial fibrillation: a randomized, digoxin-controlled trial. Am Heart J. 2003; 147(1):E3. DOI: 10.1016/s0002-8703(03)00526-x. View

5.
Wegener F, Ehrlich J, Hohnloser S . Amiodarone-associated macroscopic T-wave alternans and torsade de pointes unmasking the inherited long QT syndrome. Europace. 2007; 10(1):112-3. DOI: 10.1093/europace/eum252. View