Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Dec;32(4):432-434.
doi: 10.1007/s00399-021-00824-w. Epub 2021 Nov 30.

[An implantable loop recorder after survived sudden cardiac death? : Uncommon case from daily practice]

[Article in German]
Tobyson Pulickal  1 , Ingo Wickenbrock  2 , Christian A Perings  3
Affiliations
Case Reports

[An implantable loop recorder after survived sudden cardiac death? : Uncommon case from daily practice]

[Article in German]
Tobyson Pulickal et al. Herzschrittmacherther Elektrophysiol. 2021 Dec.

Abstract
in English, German

A 58-year-old woman fainted on the ward a few days after an emergency appendectomy. Due to recurrent loss of consciousness, immediate resuscitation was started and a ventricular torsades de pointes tachycardia was documented. Further diagnostic procedures did not reveal any underlying cardiac disease or channelopathy and different potential causes were ruled out. For optimal diagnostic accuracy in a situation where a reversible/preventable cause might have been present, a loop recorder was implanted for continuous ECG monitoring of the patient.

Eine 58-jährige Patientin synkopierte wenige Tage nach einer notfallmäßigen Appendektomie auf der Station. Wegen rezidivierendem Bewusstseinsverlust wurde eine sofortige Reanimation eingeleitet, und es wurde eine Torsade-de-Pointes-Tachykardie dokumentiert. In der weiteren diagnostischen Aufarbeitung fand sich kein Hinweis auf eine zugrundeliegende kardiale Erkrankung oder Kanalerkrankung; verschiedene Ursachen der Tachyarrhythmie konnten ausgeschlossen werden. Um eine optimale diagnostische Sicherheit in einer Situation zu gewährleisten, in der reversible oder vermeidbare Ursachen für eine Torsade-de-Pointes-Tachykardie nicht sicher auszuschließen waren, wurde ein Loop-Rekorder implantiert, der eine kontinuierliche EKG-Überwachung der Patientin gewährleistete.

Keywords: Antibiotics; Implantable loop recorder; Remote monitoring; Resuscitation; Torsades-de-pointes tachycardia.

PubMed Disclaimer

References

Literatur

    1. El-Sherif N, Turitto G, Boutjdir M (2018) Acquired long QT syndrome and torsade de pointes. Pacing Clin Electrophysiol 41:414–421. https://doi.org/10.1111/pace.13296 - DOI - PubMed
    1. Vandael E, Vandenberk B, Vandenberghe J et al (2017) Risk factors for QTc-prolongation: systematic review of the evidence. Int J Clin Pharm 39:16–25. https://doi.org/10.1007/s11096-016-0414-2 - DOI - PubMed
    1. Poluzzi E, Raschi E, Motola D et al (2010) Antimicrobials and the risk of torsades de pointes: the contribution from data mining of the US FDA Adverse Event Reporting System. Drug Saf 33:303–314. https://doi.org/10.2165/11531850-000000000-00000 - DOI - PubMed
    1. von Scheidt W, Bosch R, Klingenheben T et al (2019) Manual zur Diagnostik und Therapie von Synkopen. Kardiologe 13:198–215. https://doi.org/10.1007/s12181-019-0319-0 - DOI
    1. Brignole M, Moya A, de Lange FJ et al (2018) 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J 39:1883–1948. https://doi.org/10.1093/eurheartj/ehy037 - DOI - PubMed

Publication types

LinkOut - more resources