Literature DB >> 24620846

QT prolongation and T-wave alternans during catheter ablation of atrial fibrillation: a case report.

Aditya Saini1, Hemal Shah, Samir Saba.   

Abstract

We report a case of a 63-year-old woman who developed profound QT prolongation, T-wave alternans, and spontaneous ventricular fibrillation during catheter ablation of atrial fibrillation. A thorough search into the possible mechanisms identified the use of sevoflurane, an inhalational gas anesthetic as the culprit. The patient was converted to propofol anesthesia and her QT interval normalized promptly. ©2013, Wiley Periodicals, Inc.

Entities:  

Keywords:  T-wave alternans; basic; basic, atrial fibrillation/atrial arrhythmias; clinical, Noninvasive techniques; clinical, ventricular tachycardia/fibrillation; electrophsiology; long QT syndrome

Mesh：

Substances：

Year:  2013        PMID： 24620846      PMCID： PMC6932119          DOI： 10.1111/anec.12030

Source DB:  PubMed          Journal:  Ann Noninvasive Electrocardiol        ISSN： 1082-720X            Impact factor:   1.468


  4 in total

1.  Mechanisms underlying the QT interval-prolonging effects of sevoflurane and its interactions with other QT-prolonging drugs.

Authors:  Jiesheng Kang; William P Reynolds; Xiao-Liang Chen; Junzhi Ji; Hongge Wang; David E Rampe
Journal:  Anesthesiology       Date:  2006-05       Impact factor: 7.892

2.  Torsade de pointes in a patient with acute prolonged QT syndrome and poorly controlled diabetes during sevoflurane anaesthesia.

Authors:  V Thiruvenkatarajan; K D Osborn; R M A W Van Wijk; P Euler; R Sethi; S Moodie; V Biradar
Journal:  Anaesth Intensive Care       Date:  2010-05       Impact factor: 1.669

3.  Drug-induced long-QT syndrome associated with a subclinical SCN5A mutation.

Authors:  Naomasa Makita; Minoru Horie; Takeshi Nakamura; Tomohiko Ai; Koji Sasaki; Hisataka Yokoi; Masayuki Sakurai; Ichiro Sakuma; Hideo Otani; Hirofumi Sawa; Akira Kitabatake
Journal:  Circulation       Date:  2002-09-03       Impact factor: 29.690

Review 4.  Female gender as a risk factor for drug-induced cardiac arrhythmias: evaluation of clinical and experimental evidence.

Authors:  S N Ebert; X K Liu; R L Woosley
Journal:  J Womens Health       Date:  1998-06       Impact factor: 2.681
  4 in total

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