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Case Reports
. 2022 Nov 3;2(2):57-60.
doi: 10.1016/j.cjcpc.2022.10.008. eCollection 2023 Apr.

Left Cardiac Sympathetic Denervation as an Acute Treatment of Torsades in a Paediatric Case of Long QT

Jennifer Shortland  1 , Diego Marquez  2 , Osman Al-Radi  2 , Shubhayan Sanatani  1
Affiliations
Case Reports

Left Cardiac Sympathetic Denervation as an Acute Treatment of Torsades in a Paediatric Case of Long QT

Jennifer Shortland et al. CJC Pediatr Congenit Heart Dis. .
No abstract available

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Figures

Figure 1
Figure 1
Twelve-lead electrocardiogram demonstrating sinus rhythm at a rate of 65 bpm. There is widespread abnormal repolarization with T-wave inversion in the lateral and inferior leads. The T waves are broad based, and the QTc is significantly prolonged at 584 ms.
Figure 2
Figure 2
Twelve-lead electrocardiogram demonstrating 2 runs of torsades de pointes, which is characterized by a wide complex polymorphic ventricular tachycardia.
See this image and copyright information in PMC

References

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    1. Schwartz P., Crotti L., Insolia R. Long-QT syndrome: from genetics to management. Circ Arrhthym Electrophysiol. 2021;5:868–877. - PMC - PubMed
    1. Prior S., Wilde A., Horie M., et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes. Heart Rhythm. 2013;10:1932–1963. - PubMed
    1. Olde Nordkamp L.R.A., Postema P.G., Knops R.E., et al. Implantable cardioverter-defibrillator harm in young patients with inherited arrhythmia syndromes: a systematic review and meta-analysis of inappropriate shocks and complications. Heart Rhythm. 2016;13:443–454. - PubMed
    1. Dusi V., Pugliese L., De Ferrari G., et al. Left cardiac sympathetic denervation for long QT syndrome: 50 years’ experience provides guidance for management. JACC Clin Electrophysiol. 2022;8:281–294. - PubMed

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