Bradycardia-Associated Torsade de Pointes and the Long-QT Syndromes: A Case Report and Review of the Literature

From: Military Medicine | Date: May 1, 2005| Author: Ashworth, Simeon W; Levsky, Marc E; Marley, Chad T; Kang, Christopher S | Copyright information

We report a case of bradycardia-associated torsade de pointes in which the underlying long-QT syndrome appeared to be attributable to primary cardiac conducting system disease. Our patient presented complaining of presyncope and syncope. Serial electrocardiograms obtained over a period of 10 years demonstrated slowly progressive conduction system abnormalities, and evaluation revealed no other cause. The patient's dysrhythmia was refractory to magnesium but abated with cardiac pacing at a mod...