Torsades de pointes in the PACU after outpatient endoscopy: a case report

Abstract Background This case demonstrates the severe electrolyte derangements that may present after a common therapy such as a bowel preparation for an outpatient procedure and the rare yet potential detrimental outcomes of those abnormalities. It also highlights the implications of long QT syndro...

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Autores principales:	Andrew Schaar, Mark Liu, Michael Patzkowski
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Hypokalemia Torsades de pointes Acquired long QT syndrome Congenital long QT syndrome Magnesium Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/97ce19c1ddc64184b5e7d6c24c1ff253
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spelling	oai:doaj.org-article:97ce19c1ddc64184b5e7d6c24c1ff2532021-12-05T12:07:57ZTorsades de pointes in the PACU after outpatient endoscopy: a case report10.1186/s12871-021-01457-91471-2253https://doaj.org/article/97ce19c1ddc64184b5e7d6c24c1ff2532021-12-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01457-9https://doaj.org/toc/1471-2253Abstract Background This case demonstrates the severe electrolyte derangements that may present after a common therapy such as a bowel preparation for an outpatient procedure and the rare yet potential detrimental outcomes of those abnormalities. It also highlights the implications of long QT syndrome regarding pharmacology and treatment. Case presentation We present a case of 48 year-old female with severe electrolyte derangements and long QT syndrome (LQTS) leading to Torsades de Pointes (TdP), pulseless ventricular fibrillation, and unsynchronized defibrillation in the post anesthesia care unit (PACU) after uneventful upper and lower endoscopy. This led to an unanticipated intensive care unit admission for aggressive electrolyte repletion, cardiology consultation, and implantable cardioverter defibrillator (ICD) placement. Conclusions This is a rare presentation after an outpatient procedure that would have had a detrimental outcome if not promptly diagnosed and treated appropriately. Therefore, we aim to provide further insight into the diagnosis and treatment of severe hypokalemia and long QT syndrome resulting in Torsades de Pointes and ventricular fibrillation.Andrew SchaarMark LiuMichael PatzkowskiBMCarticleHypokalemiaTorsades de pointesAcquired long QT syndromeCongenital long QT syndromeMagnesiumAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hypokalemia Torsades de pointes Acquired long QT syndrome Congenital long QT syndrome Magnesium Anesthesiology RD78.3-87.3
spellingShingle	Hypokalemia Torsades de pointes Acquired long QT syndrome Congenital long QT syndrome Magnesium Anesthesiology RD78.3-87.3 Andrew Schaar Mark Liu Michael Patzkowski Torsades de pointes in the PACU after outpatient endoscopy: a case report
description	Abstract Background This case demonstrates the severe electrolyte derangements that may present after a common therapy such as a bowel preparation for an outpatient procedure and the rare yet potential detrimental outcomes of those abnormalities. It also highlights the implications of long QT syndrome regarding pharmacology and treatment. Case presentation We present a case of 48 year-old female with severe electrolyte derangements and long QT syndrome (LQTS) leading to Torsades de Pointes (TdP), pulseless ventricular fibrillation, and unsynchronized defibrillation in the post anesthesia care unit (PACU) after uneventful upper and lower endoscopy. This led to an unanticipated intensive care unit admission for aggressive electrolyte repletion, cardiology consultation, and implantable cardioverter defibrillator (ICD) placement. Conclusions This is a rare presentation after an outpatient procedure that would have had a detrimental outcome if not promptly diagnosed and treated appropriately. Therefore, we aim to provide further insight into the diagnosis and treatment of severe hypokalemia and long QT syndrome resulting in Torsades de Pointes and ventricular fibrillation.
format	article
author	Andrew Schaar Mark Liu Michael Patzkowski
author_facet	Andrew Schaar Mark Liu Michael Patzkowski
author_sort	Andrew Schaar
title	Torsades de pointes in the PACU after outpatient endoscopy: a case report
title_short	Torsades de pointes in the PACU after outpatient endoscopy: a case report
title_full	Torsades de pointes in the PACU after outpatient endoscopy: a case report
title_fullStr	Torsades de pointes in the PACU after outpatient endoscopy: a case report
title_full_unstemmed	Torsades de pointes in the PACU after outpatient endoscopy: a case report
title_sort	torsades de pointes in the pacu after outpatient endoscopy: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/97ce19c1ddc64184b5e7d6c24c1ff253
work_keys_str_mv	AT andrewschaar torsadesdepointesinthepacuafteroutpatientendoscopyacasereport AT markliu torsadesdepointesinthepacuafteroutpatientendoscopyacasereport AT michaelpatzkowski torsadesdepointesinthepacuafteroutpatientendoscopyacasereport
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Torsades de pointes in the PACU after outpatient endoscopy: a case report

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