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Titolo:
Report of a life-threatening arrhythmia after hospital discharge in a liver transplant recipient with previously unknown congenital long QT syndrome
Autore:
Biancofiore, G; Valentini, C; Cellai, F; Filipponi, F; Mosca, F; Vagelli, A;
Indirizzi:
Univ Pisa, Sch Med, Osped Cisanello,Pisa NHS Trust, Anesthesia & Intens Care Dept 1, I-56100 Pisa, Italy Univ Pisa Pisa Italy I-56100 a & Intens Care Dept 1, I-56100 Pisa, Italy
Titolo Testata:
DIGESTIVE AND LIVER DISEASE
fascicolo: 5, volume: 33, anno: 2001,
pagine: 432 - 434
SICI:
1590-8658(200106/07)33:5<432:ROALAA>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
TORSADE-DE-POINTES; INTERVAL PROLONGATION; DISEASE;
Keywords:
liver transplantation; long QT syndrome; torsades de pointes; ventricular tachycardia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Biancofiore, G Osped Cisanello, UTI Trapianti, UO Anestesia & Rianimaz 1, Via Paradisa 2,I-56100 Pisa, Italy Osped Cisanello Via Paradisa 2 Pisa Italy I-56100 a, Italy
Citazione:
G. Biancofiore et al., "Report of a life-threatening arrhythmia after hospital discharge in a liver transplant recipient with previously unknown congenital long QT syndrome", DIG LIVER D, 33(5), 2001, pp. 432-434

Abstract

The tong QT syndrome affects heart rhythm by prolonging ventricular repolarisation; it is potentially life-threatening since it can evolve into torsades de pointes (a polymorphic ventricular tachycardia) and/or ventricular fibrillation. The case is presented of a 55-year-old liver detected by the standard preoperative cardiological evaluation. was mild in the immediate post-operative period but developed Into torsades de pointes after discharge,probably as a result of therapy This case: was particularly challenging because the first arrhythmic episodes were short and electocardiographically silent, and thus the related faints were thought to have a neurological basis. When the true cause emerged during a monitored episode of torsades de pointes, electric defibrillation was used to restore sinus rhythm and isoproterenol administered to increase heart I-ate and thus shorten the prolongedQT interval Long-term control was obtained by means of an implantable intracardiac defibrillator. In orthotopic liver, transplant recipients with tong QT syndrome, particular attention should be given to post-operative therapy as some routinely used drugs can trigger life-threatening ventricular arrhythmias.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 14:59:26