Financial Disclosure: None.
Pregnancy and Short-Coupled Torsades de Pointes
Article first published online: 11 OCT 2010
©2010, The Authors. Journal compilation ©2010 Wiley Periodicals, Inc.
Pacing and Clinical Electrophysiology
Volume 36, Issue 3, pages e77–e79, March 2013
How to Cite
BURROWS, K., FOX, J., BIBLO, L. A. and ROTH, J. A. (2013), Pregnancy and Short-Coupled Torsades de Pointes. Pacing and Clinical Electrophysiology, 36: e77–e79. doi: 10.1111/j.1540-8159.2010.02923.x
- Issue published online: 5 MAR 2013
- Article first published online: 11 OCT 2010
- Manuscript Accepted: 25 JUL 2010
- Manuscript Revised: 20 DEC 2009
- Manuscript Received: 8 SEP 2009
This 24-year-old woman had incessant polymorphic ventricular tachycardia (PVT) during week 24 of her pregnancy and received over 200 implantable cardioverter-defibrillator discharges. She failed to respond to quinidine, magnesium, isoproterenol, amiodarone, esmolol, and cilostazol during her PVT storm, although her dramatic response to verapamil was consistent with the diagnosis of short-coupled variant of torsades de pointes. The case illustrated the utility of extracorporeal membrane oxygenation during refractory PVT, while attempting diagnostic and therapeutic pharmacologic maneuvers.