Partners in Crime in the Setting of Recurring Cardiac Arrest

No previous reports are available about the potential dramatic effects resulting from the combination of acquired long QT interval not associated to bradycardia and myocardial ischemia. We report the case of a man that during acute necrotic pancreatitis presented QT interval prolongation without bra...

Full description

Saved in:
Bibliographic Details
Main Authors: Lida P. Papavasileiou, Giovanni B. Forleo, Luca Santini, Eugenio Martuscelli, Francesco Romeo
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.4061/2011/198653
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850213514506928128
author Lida P. Papavasileiou
Giovanni B. Forleo
Luca Santini
Eugenio Martuscelli
Francesco Romeo
author_facet Lida P. Papavasileiou
Giovanni B. Forleo
Luca Santini
Eugenio Martuscelli
Francesco Romeo
author_sort Lida P. Papavasileiou
collection DOAJ
description No previous reports are available about the potential dramatic effects resulting from the combination of acquired long QT interval not associated to bradycardia and myocardial ischemia. We report the case of a man that during acute necrotic pancreatitis presented QT interval prolongation without bradycardia, TdP, and two episodes of cardiac arrest. A coronary angiogram revealed a subocclusive stenosis of left anterior descending coronary artery, treated with a percutaneous coronary intervention. After myocardial revascularization, even in presence of long QT interval, no arrhythmic events occurred suggesting the key role of myocardial ischemia in triggering TdP in acquired long QT even without bradycardia. ECG performed six months later, after complete recovery from pancreatitis, showed a normal QT interval.
format Article
id doaj-art-840fee91d3e64e78902eb21e317f22d1
institution OA Journals
issn 2090-0597
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-840fee91d3e64e78902eb21e317f22d12025-08-20T02:09:07ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/198653198653Partners in Crime in the Setting of Recurring Cardiac ArrestLida P. Papavasileiou0Giovanni B. Forleo1Luca Santini2Eugenio Martuscelli3Francesco Romeo4Cardiology Department, Tor Vergata University Hospital of Rome, Viale Oxford 81, 00133 Rome, ItalyCardiology Department, Tor Vergata University Hospital of Rome, Viale Oxford 81, 00133 Rome, ItalyCardiology Department, Tor Vergata University Hospital of Rome, Viale Oxford 81, 00133 Rome, ItalyCardiology Department, Tor Vergata University Hospital of Rome, Viale Oxford 81, 00133 Rome, ItalyCardiology Department, Tor Vergata University Hospital of Rome, Viale Oxford 81, 00133 Rome, ItalyNo previous reports are available about the potential dramatic effects resulting from the combination of acquired long QT interval not associated to bradycardia and myocardial ischemia. We report the case of a man that during acute necrotic pancreatitis presented QT interval prolongation without bradycardia, TdP, and two episodes of cardiac arrest. A coronary angiogram revealed a subocclusive stenosis of left anterior descending coronary artery, treated with a percutaneous coronary intervention. After myocardial revascularization, even in presence of long QT interval, no arrhythmic events occurred suggesting the key role of myocardial ischemia in triggering TdP in acquired long QT even without bradycardia. ECG performed six months later, after complete recovery from pancreatitis, showed a normal QT interval.http://dx.doi.org/10.4061/2011/198653
spellingShingle Lida P. Papavasileiou
Giovanni B. Forleo
Luca Santini
Eugenio Martuscelli
Francesco Romeo
Partners in Crime in the Setting of Recurring Cardiac Arrest
Cardiology Research and Practice
title Partners in Crime in the Setting of Recurring Cardiac Arrest
title_full Partners in Crime in the Setting of Recurring Cardiac Arrest
title_fullStr Partners in Crime in the Setting of Recurring Cardiac Arrest
title_full_unstemmed Partners in Crime in the Setting of Recurring Cardiac Arrest
title_short Partners in Crime in the Setting of Recurring Cardiac Arrest
title_sort partners in crime in the setting of recurring cardiac arrest
url http://dx.doi.org/10.4061/2011/198653
work_keys_str_mv AT lidappapavasileiou partnersincrimeinthesettingofrecurringcardiacarrest
AT giovannibforleo partnersincrimeinthesettingofrecurringcardiacarrest
AT lucasantini partnersincrimeinthesettingofrecurringcardiacarrest
AT eugeniomartuscelli partnersincrimeinthesettingofrecurringcardiacarrest
AT francescoromeo partnersincrimeinthesettingofrecurringcardiacarrest