Summary
Presented in this paper were 3 cases of a special kind of polymorphic ventricular tachycardia (VT). The clinical manifestation was recurrent syncope without organic heart disease. The electrocardiogram (ECG) was characterized by normal QT intervals with short-coupled variant of torsade de pointes. The efficacy of treatment with classI,I,I antiarrhythmic drugs was not apparent but verapamil had an excellent therapeutic effect for it. This kind of VT had a high incidence of sudden death, so it was very important for physicians to identify and treat it promptly with long-term verapamil. The mechanism of short-coupled variant of torsade de pointes was unclear. It probably had some relationship with triggered activity or imbalance of autonomic nervous system.
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References
Viskin S, Belhassen B. Polymorphic ventricular tachyarrhythmias in the absence of organic heart disease: classification, differential diagnosis, and implications for therapy. Prog Cardiovase Dis, 1998, 41: 17
Leenhardt A, Glaser E, Burguera Met al. Short-coupled variant of torsade de pointes: a new electrocardiographic entity in the spectrum of idiopathic ventricular tachyarrhythmias. Circulation, 1994, 89: 206
1994, 22: 192, 1995. 493
1995, 493
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Yanfei, R., Lin, W. Short-coupled variant of torsade de pointes. Current Medical Science 21, 30–31 (2001). https://doi.org/10.1007/BF02888030
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DOI: https://doi.org/10.1007/BF02888030