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Torsade de pointes

Department of Accident and Emergency Medicine, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK

Correspondence to:
Correspondence to:
Dr P T Munro;
PHIL.MUNRO{at}sgh.scot.nhs.uk

ABSTRACT
A case is described of torsade de pointes in a 41 year old woman with pre-existing QTc prolongation, potentially exacerbated by treatment with sotalol. Previous cardiac investigations had been normal and after a second episode of ventricular fibrillation the patient was referred for electrophysiological studies. The authors review the physiology, causes, and treatment of QTc prolongation and torsade de pointes.

Keywords: torsade de pointes