TORSADE-DE-POINTES AND LONG QT SYNDROME FOLLOWING MAJOR BLOOD-TRANSFUSION

被引：13
作者：
KULKARNI, P
BHATTACHARYA, S
PETROS, AJ
机构：
[1] Northwick Park Hospital, Harrow, Middlesex, HA1 3UJ, Watford Road
[2] Northwick Park Hospital, Harrow, Middlesex, HA1 3UJ, Watford Road
[3] Northwick Park Hospital, Harrow, Middlesex, HA1 3UJ, Watford Road
来源：
ANAESTHESIA | 1992年 / 47卷 / 02期
关键词：
HEART; ARRHYTHMIA; VENTRICULAR; TORSADE DE POINTES; IONS; MAGNESIUM; TRANSFUSION; COMPLICATIONS;
D O I：
10.1111/j.1365-2044.1992.tb02008.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We report a rare complication following transfusion of a large volume of blood in an adult patient. An electrophysiological disturbance of the cardiac cycle with prolongation of the QT interval developed, which was followed by recurrent episodes of torsade de pointes, a unique form of ventricular tachycardia. The most likely cause of this acquired long QT syndrome was hypomagnesaemia secondary to massive blood transfusion. Treatment with a magnesium infusion restored the QT interval to normal and temporary ventricular pacing prevented further ventricular arrhythmias. Copyright © 1992, Wiley Blackwell. All rights reserved
引用
收藏
页码：125 / 127
页数：3
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