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Landiolol suppression of electrical storm of torsades de pointes in patients with congenital long-QT syndrome type 2 and myocardial ischemia.


ABSTRACT: A 76-year-old man who had been diagnosed with long-QT syndrome type 2 had frequent syncopal attacks. The electrocardiogram was monitored, and frequent torsades de pointes (TdP) was detected despite administration of conventional medications: oral propranolol, verapamil, intravenous magnesium sulfate, verapamil, and lidocaine. In contrast, 2 ?g/kg/min landiolol could completely suppress TdP. Subsequently, an implantable cardioverter defibrillator was placed, and he was diagnosed with silent myocardial ischemia using myocardial perfusion scintigraphy and coronary angiography. This is the first case report wherein landiolol effectively suppressed TdP due to long-QT syndrome with silent myocardial ischemia.

SUBMITTER: Kitajima R 

PROVIDER: S-EPMC5634675 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Landiolol suppression of electrical storm of torsades de pointes in patients with congenital long-QT syndrome type 2 and myocardial ischemia.

Kitajima Ryota R   Aiba Takeshi T   Kamakura Tsukasa T   Ishibashi Kohei K   Wada Mitsuru M   Inoue Yuko Y   Miyamoto Koji K   Okamura Hideo H   Noda Takashi T   Nagase Satoshi S   Kataoka Yu Y   Asaumi Yasuhide Y   Noguchi Teruo T   Yasuda Satoshi S   Kusano Kengo K  

Journal of arrhythmia 20170627 5


A 76-year-old man who had been diagnosed with long-QT syndrome type 2 had frequent syncopal attacks. The electrocardiogram was monitored, and frequent torsades de pointes (TdP) was detected despite administration of conventional medications: oral propranolol, verapamil, intravenous magnesium sulfate, verapamil, and lidocaine. In contrast, 2 μg/kg/min landiolol could completely suppress TdP. Subsequently, an implantable cardioverter defibrillator was placed, and he was diagnosed with silent myoca  ...[more]

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