Key result
Rapid recognition of Torsades de Pointes and prompt defibrillation in a child with leukemia and cardiac arrest resulted in an excellent outcome.
Case Report (n=1)
Prompt recognition and defibrillation of Torsades de Pointes in a pediatric patient with leukemia and acquired QT prolongation can lead to an excellent clinical outcome.
Prompt TdP defibrillation can yield excellent outcomes in pediatric leukemia arrest; hypothesis-generating for QT monitoring protocols in oncology.
Torsades de Pointes (TdP) is a life-threatening ventricular arrhythmia that can be associated with metabolic abnormalities, exposure to arrhythmogenic medications, and congenital long-QT syndrome. This report describes a patient with ALL and multiple complications of therapy who developed TdP. The patient had no evidence of congenital long-QT syndrome, but a constellation of factors appears to have led to QT prolongation, ventricular ectopy, and TdP. Although the patient suffered cardiac arrest, rapid recognition of TdP and prompt defibrillation resulted in an excellent outcome.
No takes yet. Share an insight, caveat, or question.
Bagatell et al. (2005) conducted a case report in Acute lymphoblastic leukemia and Torsades de Pointes (n=1). Rapid recognition and prompt defibrillation was evaluated on Clinical outcome. Rapid recognition of Torsades de Pointes and prompt defibrillation in a child with leukemia and cardiac arrest resulted in an excellent outcome.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: