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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Korean+Med+Sci 2001 ; 16 (3): 355-9 Nephropedia Template TP
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A case of torsade de pointes associated with hypopituitarism due to hemorrhagic fever with renal syndrome #MMPMID11410700
Kim NH; Cho JG; Ahn YK; Lee SU; Kim KH; Cho JH; Kim HG; Kim W; Jeong MH; Park JC; Kang JC
J Korean Med Sci 2001[Jun]; 16 (3): 355-9 PMID11410700show ga
We describe a 51-yr-old man presenting with syncope due to torsade de pointes. The torsade de pointes was refractory to conventional medical therapy, including infusion of isoproterenol, MgSO4, potassium, lidocaine, and amiodarone. His past history, physical findings, and hormone study confirmed that QT prolongation was caused by anterior hypopituitarism that developed as a sequela of hemorrhagic fever with renal syndrome. The long QT interval with deep inverted T wave was completely normalized 4 weeks after starting steroid and thyroid hormone replacement. Hormonal disorders should be considered as a cause of torsade de pointes, because this life-threatening arrhythmia can be treated by replacing the missing hormone.
|Hemorrhagic Fever with Renal Syndrome/*complications/physiopathology[MESH]