Key result
Antiarrhythmics and PCI successfully treat torsades de pointes driven by R-on-T phenomenon.
Case Report (n=1)
Torsades de pointes can present atypically as a seizure-like episode even with a normal QTc interval, driven by an R-on-T phenomenon and underlying ischemia, requiring prompt recognition and comprehensive management.
We present a rare case of a 40-year-old male who experienced a seizure-like episode, later diagnosed as torsades de pointes (TDP), following an R-on-T phenomenon feature on ECG. This case underscores the importance of considering cardiac arrhythmias in the differential diagnosis of atypical seizure presentations. The patient underwent successful treatment with antiarrhythmics and coronary stenting for underlying coronary artery stenosis, emphasizing a comprehensive approach to managing such complex cases.
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Kanchan et al. (2025) conducted a case report in Torsades de pointes presenting as a seizure-like episode (n=1). Antiarrhythmics, cardioversion, and percutaneous coronary intervention was evaluated. A 40-year-old male presenting with a seizure-like episode was diagnosed with torsades de pointes due to an R-on-T phenomenon and successfully treated with antiarrhythmics and coronary stenting.
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