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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Emerg+Med 2014 ; 32 (6): 683.e5-7 Nephropedia Template TP
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The use of isoproterenol and phenytoin to reverse torsade de pointes #MMPMID24462399
Omar HR; Sprenker C; Karlnoski R; Mangar D; Camporesi EM
Am J Emerg Med 2014[Jun]; 32 (6): 683.e5-7 PMID24462399show ga
Torsade de pointes is a form of polymorphic ventricular tachycardia that differs from other forms of ventricular tachycardia in its morphology, precipitating factors, and therapeutic approach. Its recognition is of utmost importance, as the standard anti-arrythmic drugs not only might be ineffective in its termination but also may aggravate it. Herein, we report a case of antipsychotic-induced torsade de pointes and describe the use of magnesium sulfate, isoproterenol, and phenytoin and their proposed mechanism of action.