Idiopathic Intractable Diarrhoea Leading to Torsade de Pointes
Joint Authors
Mouyis, Kyriacos
Okonko, Darlington
Missouris, Constantinos G.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-23
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
An 81-year-old lady was admitted to our hospital with a 3-year history of noninfective diarrhoea and recurrent syncopal events over the last 3 months.
Her initial electrocardiogram (ECG) revealed trigeminy and prolonged QTc interval.
She had a structurally normal heart with no coronary artery disease.
Investigations revealed low potassium at 3.0 mmol/L.
Sigmoidoscopy and colonoscopy suggested a possible diagnosis of diverticulitis.
Soon after admission she had an unresponsive episode with spontaneous recovery.
Telemetry and Holter analysis confirmed multiple episodes of polymorphic ventricular tachycardia (Torsade de Pointes).
Following electrolyte supplementation the episodes of polymorphic VT improved.
Due to the protracted nature of the diarrhoea, the recurrent syncopal events, and recurrent hypokalaemia documented over recent years, an Implantable Cardioverter Defibrillator (ICD) was sanctioned by the multidisciplinary team (MDT).
In summary, chronic diarrhoea may result in life threatening polymorphic VT due to hypokalaemia and QTc prolongation.
In these patients an ICD may be considered.
American Psychological Association (APA)
Mouyis, Kyriacos& Okonko, Darlington& Missouris, Constantinos G.. 2016. Idiopathic Intractable Diarrhoea Leading to Torsade de Pointes. Case Reports in Cardiology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100324
Modern Language Association (MLA)
Mouyis, Kyriacos…[et al.]. Idiopathic Intractable Diarrhoea Leading to Torsade de Pointes. Case Reports in Cardiology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100324
American Medical Association (AMA)
Mouyis, Kyriacos& Okonko, Darlington& Missouris, Constantinos G.. Idiopathic Intractable Diarrhoea Leading to Torsade de Pointes. Case Reports in Cardiology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100324
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100324