Torsades de Pointes With a Normal Magnesium Level in the Setting of Short Bowel Syndrome
| Autor: | Joseph Abraham, Eric Landa, Ismail Ganim, William Barker, Talhah Siraj |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cardiology chemistry.chemical_element Torsades de pointes short bowel syndrome Normal serum arrhythmia serum magnesium Internal medicine Internal Medicine medicine isoproterenol Magnesium business.industry Low serum magnesium Gastroenterology General Engineering Magnesium level Short bowel syndrome medicine.disease torsades de pointes (tdp) chemistry Etiology Permanent pacemaker business |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.16743 |
| Popis: | Torsades de pointes (TdP) is a potentially fatal arrhythmia, typically presenting with a congenital or acquired etiology. Low serum magnesium level is a known cause leading to this arrhythmia. However, it has been found that even in the setting of a normal serum magnesium level and with no other foreseeable etiology, TdP may still occur, especially in those with chronic electrolyte deficiencies. TdP may be treated in a number of ways, including IV magnesium sulfate or defibrillation if the patient becomes unresponsive and hemodynamically unstable. In some cases, atrial overdrive is required with the use of isoproterenol. A final decision, however, would necessitate asking if the patient can be sent home on medical management to prevent recurrence of the arrhythmia or require placement of a permanent pacemaker. Here, we describe a patient developing recurrent TdP despite normal serum magnesium level in the setting of short bowel syndrome. |
| Databáze: | OpenAIRE |
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