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Torsade de pointes and long QT syndrome following major blood transfusion (1992)

KULKARNI, P. ; BHATTACHARYA, S. ; PETROS, A. J.

Oxford, UK : Blackwell Publishing Ltd

Anaesthesia 47 (1992), S. 0

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ISSN: 1365-2044

Source: Blackwell Publishing Journal Backfiles 1879-2005

Topics: Medicine

Notes: We report a rare complication following transfusion of a large volume of blood in an adult patient. An electrophysiological disturbance of the cardiac cycle with prolongation of the QT interval developed, which was followed by recurrent episodes of torsade de pointes, a unique form of ventricular tachycardia. The most likely cause of this acquired long QT syndrome was hypomagnesaemia secondary to massive blood transfusion. Treatment with a magnesium infusion restored the QT interval to normal and temporary ventricular pacing prevented further ventricular arrhythmias.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1111/j.1365-2044.1992.tb02008.x

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