الملخص
A 55-year-old chronic alcoholic male known to be positive for human immunodeficiency virus (HIV) was admitted to a surgical ward following perianal abscess drainage. He was noted to have sinus bradycardia, ventricular premature complexes, and mild hypotension. His laboratory investigations revealed mild hypokalaemia. He was intermittently agitated and alcohol withdrawal syndrome (AWS) was diagnosed. Postoperatively, he received intravenous piperacillin/tazobactam and metronidazole infusions along with a small dose of dopamine. Analysis of a 24-hour Holter monitor (ECG) showed a prolonged QT interval with two episodes of self-terminating torsade de pointes. His AWS was treated, hypokalaemia was corrected, and dopamine, along with antibiotics, was withdrawn. There was no recurrence of arrhythmias. This case highlights the importance of avoiding QT-prolonging drugs in hospitalised patients, since hospitalised patients often have multiple risk factors for a proarrhythmic response.
بيانات النشر
- المعرّف الرقمي
- 10.18295/2075-0528.1445
- المجلة
- مجلة جامعة السلطان قابوس الطبية, 13(1), 152-155
- الناشر
- جامعة السلطان قابوس
- وصول مفتوح
- وصول مفتوح ذهبي
- الترخيص
- CC BY-ND 4.0
اقتبس هذه المقالة
APA 7
Panduranga, P., Al-Mukhaini, M., & P., M. (2025). Multi-Factorial Causes of Torsade De Pointes in a Hospitalised Surgical Patient. Sultan Qaboos University Medical Journal, 13(1), 152-155. https://doi.org/10.18295/2075-0528.1445
MLA 9
Panduranga, Prashanth, et al. "Multi-Factorial Causes of Torsade De Pointes in a Hospitalised Surgical Patient." Sultan Qaboos University Medical Journal, vol. 13, no. 1, 2025, pp. 152-155. https://doi.org/10.18295/2075-0528.1445.
شيكاغو (المؤلف–التاريخ)
Panduranga, Prashanth, Mohammed Al-Mukhaini, and Mamatha P. 2025. "Multi-Factorial Causes of Torsade De Pointes in a Hospitalised Surgical Patient." Sultan Qaboos University Medical Journal 13 (1): 152-155. https://doi.org/10.18295/2075-0528.1445.
هارفارد
Panduranga, P., Al-Mukhaini, M. and P., M. (2025) 'Multi-Factorial Causes of Torsade De Pointes in a Hospitalised Surgical Patient', Sultan Qaboos University Medical Journal, 13(1), pp. 152-155. doi:10.18295/2075-0528.1445.
فانكوفر
Panduranga P, Al-Mukhaini M, P. M. Multi-Factorial Causes of Torsade De Pointes in a Hospitalised Surgical Patient. Sultan Qaboos University Medical Journal. 2025;13(1):152-155. doi:10.18295/2075-0528.1445
IEEE
P. Panduranga, M. Al-Mukhaini, and M. P., "Multi-Factorial Causes of Torsade De Pointes in a Hospitalised Surgical Patient," Sultan Qaboos University Medical Journal, vol. 13, no. 1, pp. 152-155, 2025, doi: 10.18295/2075-0528.1445.