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suck abstract from ncbi


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pmid2326522      Rev+Esp+Anestesiol+Reanim 1990 ; 37 (1): 28-31
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  • Arritmia cardiaca grave secundaria a deplecion de magnesio Torsade de pointe #MMPMID2326522
  • Papaceit J; Moral V; Recio J; de Ferrer JM; Riva J; Bayes de Luna A
  • Rev Esp Anestesiol Reanim 1990[Jan]; 37 (1): 28-31 PMID2326522show ga
  • We report a case of torsade de pointe ventricular tachycardia in a patient with chronic magnesium depletion. The etiological aspects implicated this unusual cardiac arrhythmia are: the congenital long QT syndrome; bradycardia, either sinusal or due to atrioventricular block; ionic depletions: hypokalemia, hypocalcemia and hypomagnesemia; treatment with antiarrhythmic class AI drugs (quinidine-like agents), tricyclic antidepressants, phenothiazines and erythromycin; organophosphate poisoning. After ruling out other factors, we concluded that it was caused by hypomagnesemia on the basis of laboratory findings and the good response to replacement therapy. We then discuss the several types of therapy proposed for this arrhythmia; finally, we emphasize the major role of magnesium in myocardial repolarization.
  • |Electrocardiography[MESH]
  • |Humans[MESH]
  • |Magnesium Deficiency/*complications[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Postoperative Complications/*etiology/physiopathology[MESH]


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