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Hypocalcemia Presenting as Life Threatening Torsades de Pointes with Prolongation of QTc Interval

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Abstract

Torsades de pointes with prolonged QTc interval is a form of ventricular tachycardia. Many predisposing factors have been identified and hypocalcemia is among the rare ones. Our case illustrates that though rare, hypocalcemia might manifest as torsades de pointes with prolongation of QTc interval. Early diagnosis and management of dyselectrolytemia can prevent these patients from catastrophic torsades de pointes.

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Abbreviations

DC:

Direct current

BP:

Blood pressure

ECG:

Electrocardiogram

HR:

Heart rate

References

  1. Cooper MS, Gittoes NJ. Diagnosis and management of hypocalcemia. BMJ. 2008;336:1298–302.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Roden DM. A practical approach to torsade de pointes. Clin Cardiol. 1997;20:285–90.

    Article  CAS  PubMed  Google Scholar 

  3. Carter EP, Andrus EC. QT interval in human electrocardiogram in absence of cardiac disease. JAMA. 1922;78:19–22.

    Google Scholar 

  4. Schwartz PJ, Periti M, Malliani A. The long QT syndrome. Am Heart J. 1975;89:378–90.

    Article  CAS  PubMed  Google Scholar 

  5. Moss AJ. Prolonged QT-interval syndromes. JAMA. 1986;256:2985–7 (Published erratum appears in JAMA 1987; 257:487).

    Article  CAS  PubMed  Google Scholar 

  6. Eryol NK, Colak R, Ozdogru I, Tanriverdi F, Unal S, Topsakal R, et al. Effects of calcium treatment on QT interval and QT dispersion in hypocalcemia. Am J Cardiol. 2003;91:750–2.

    Article  CAS  PubMed  Google Scholar 

  7. Bronsky D, Dubin A, Waldstein SS, Kushner DS. Calcium and the electrocardiogram. I. The electrocardiographic manifestations of hypoparathyroidism. Am J Cardiol. 1961;7:823–32.

    Article  Google Scholar 

  8. Ismail Z, Mohamed R, Hassan MHM, Wan SuK. Usage of traditional medicines among elderly and prednisolone contamination. MJMS. 2005;12:50–5.

    PubMed  PubMed Central  Google Scholar 

  9. Patschan D, Loddenkemper K, Buttgereit F. Molecular mechanisms of glucocorticoid-induced osteoporosis. Bone. 2001;29:498–505.

    Article  CAS  PubMed  Google Scholar 

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Author notes

  1. Shibba Takkar Chhabra

    Present address: Department of Cardiology, Dayanand Medical College and Hospital, Civil Lines, Tagore Nagar, Ludhiana, 141001, India

Authors and Affiliations

  1. Department of Cardiology, Dayanand Medical College and Hospital, Civil Lines, Tagore Nagar, Ludhiana, 141001, India

    Naved Aslam, Bishav Mohan & Gurpreet Singh Wander

  2. Dayanand Medical College and Hospital, Ludhiana, India

    Shivani Mehta

  3. Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, India

    Sandeep Chhabra

  4. Department of Endocrinology, Dayanand Medical College and Hospital, Ludhiana, India

    Manikant Singla

Authors
  1. Shibba Takkar Chhabra
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  2. Shivani Mehta
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  3. Sandeep Chhabra
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  4. Manikant Singla
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  5. Naved Aslam
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  6. Bishav Mohan
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  7. Gurpreet Singh Wander
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Correspondence to Shibba Takkar Chhabra.

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Chhabra, S.T., Mehta, S., Chhabra, S. et al. Hypocalcemia Presenting as Life Threatening Torsades de Pointes with Prolongation of QTc Interval. Ind J Clin Biochem 33, 235–238 (2018). https://doi.org/10.1007/s12291-017-0684-z

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  • DOI: https://doi.org/10.1007/s12291-017-0684-z

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