SEVOFLURANE AS A CAUSE OF TORSADE DE POINTES IN PATIENT WITH THE LONG QT SYNDROME: Case Report.

Dominik W Choromanski, Sapan Amin, Maria M Zestos
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Abstract

Long QT syndrome (LQTS) is a rare condition that in certain circumstances can lead to severe and potentially lethal cardiac arrhythmia known as Torsade de Pointes (TdP). Inhalational anesthetics are among many medications and conditions known to prolong QT and thus potentially predispose the patient to TdP. Although studies have shown that sevoflurane should be safe for the healthy patients, the situation is unclear in patients with LQTS. We present a case of 14-year-old Caucasian female with the diagnosis of LQTS who developed TdP during sevoflurane inhalational induction. At the end, an anesthetic plan for patients with LQTS will be suggested.

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七氟醚是导致长QT综合征患者心尖扭转的原因之一:病例报告。
长QT综合征(LQTS)是一种罕见的疾病,在某些情况下可导致严重和潜在致命的心律失常,称为扭转角(TdP)。吸入麻醉剂是已知延长QT间期的许多药物和条件之一,因此可能使患者易患TdP。虽然研究表明七氟醚对健康患者应该是安全的,但对于LQTS患者的情况尚不清楚。我们报告一例14岁的白人女性,诊断为LQTS,在七氟醚吸入诱导过程中发生TdP。最后提出LQTS患者的麻醉方案。
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来源期刊
Middle East Journal of Anesthesiology
Middle East Journal of Anesthesiology Medicine-Anesthesiology and Pain Medicine
CiteScore
0.20
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0.00%
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期刊介绍: The journal is published three times a year (February, June, and October) and has an Editorial Executive Committee from the department and consultant editors from various Arab countries. A volume consists of six issues. Presently, it is in its 42nd year of publication and is currently in its 19th volume. It has a worldwide circulation and effective March 2008, the MEJA has become an electronic journal. The main objective of the journal is to act as a forum for publication, education, and exchange of opinions, and to promote research and publications of the Middle Eastern heritage of medicine and anesthesia.
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