Methadone-induced Torsades de Pointes Masquerading as Seizures

Autor: David C. Traficante, Gordon Feibish, John Kashani
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 1, Iss 1 (2017)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.2016.11.32664
Popis: The authors herein present the case of a 53-year-old female who was being treated as an outpatient for seizure disorder but was also receiving high-dose methadone therapy. She presented to the emergency department (ED) for what appeared to be a seizure and was found to have a prolonged QT interval, as well as runs of paroxysmal polymorphic ventricular tachycardia with seizure-like activity occurring during the arrhythmia. The markedly prolonged QT interval corrected after treatment with intravenous magnesium; subsequent electroencephalogram, neurology and cardiology consultations confirmed the cause of the recurrent seizure-like episodes to be secondary to the cardiotoxic effects of methadone.
Databáze: Directory of Open Access Journals