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Volume 14, Issue 1 (1-2017)
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Hanafi N, Moezi S, Farzad M, Kazemi T. Torsade de Pointes with Presentation of Seizure in the Ischemic Heart Disease Context: A Case Report. Mod Care J 2017; 14 (1)
URL: http://mcj.bums.ac.ir/article-1-77-en.html
URL: http://mcj.bums.ac.ir/article-1-77-en.html
Torsade de Pointes with Presentation of Seizure in the Ischemic Heart Disease Context: A Case Report
1- Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, IR Iran
2- Marjan Farzad, Birjand, GHaffari Street, University of Medical Sciences, Southern Khorasan, IR Iran. Tel: +98-5632395000, Fax: +98-5632430076, E-mail: mfarzad@bums.ac.ir
2- Marjan Farzad, Birjand, GHaffari Street, University of Medical Sciences, Southern Khorasan, IR Iran. Tel: +98-5632395000, Fax: +98-5632430076, E-mail: mfarzad@bums.ac.ir
Abstract: (157 Views)
Introduction: Torsade de pointes (TdP) is a devastating form of ventricular arrhythmia, mainly associated with prolongation of corrected QT (QTc) interval. In general, a TdP episode terminates spontaneously, produces syncopal episodes, or degenerates lethal arrhythmias. There are few reports on TdP in the context of ischemic heart disease (IHD). The present report describes a case of TdP in an IHD patient with presentation of seizure. Case Presentation: We describe the case of a 64-year-old man with a history of diabetes, complaint of chest discomfort, and diagnosis of unstable angina. The patient experienced recurrent myoclonic jerks, as well as transient, but progressive changes in consciousness; however, they were related to cardiac arrhythmia rather than a brain disorder. Conclusions: Cardiac arrhythmias, similar to TdP episodes, should be taken into consideration in the management of IHD patients with seizure.
Article Types: case report |
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Received: 2026/01/10 | Accepted: 2017/01/15 | Published: 2017/01/15
Received: 2026/01/10 | Accepted: 2017/01/15 | Published: 2017/01/15
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