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Angiology
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Postaortic Valve Replacement Bradycardia Induced Torsades de Pointes

Alexey Amchentsev, MD

Department of Medicine, New York Methodist Hospital

Salman A. Haq, MD

Department of Medicine, New York Methodist Hospital

Jeffery J. Holt, BS

Department of Cardiology, SUNY Downstate Medical Center Brooklyn, New York

Aslam Khan, MD

Department of Medicine, New York Methodist Hospital

Jeremiah Gelles, MD

Department of Medicine, New York Methodist Hospital

John Kassotis, MD

Department of Cardiology, SUNY Downstate Medical Center Brooklyn, New York, JTK747{at}AOL.COM

The authors present an unusual case of torsades de pointes (Tdp) in an elderly woman with a history of aortic stenosis, status post aortic valve replacement. She was admitted for atrial fibrillation with a slow ventricular response. At the time of admission, the patient was asymptomatic and not taking any medications known to be associated with QT prolongation. During hospitalization, she developed episodes of Tdp without any provocable cause. This case highlights the occurrence of Tdp secondary to conduction disturbance caused by aortic valve surgery.

Key Words: torsades de pointes • atrial fibrillation • aortic stenosis

Angiology, Vol. 59, No. 1, 111-113 (2008)
DOI: 10.1177/0003319707303834
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