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KMID : 0371620080230010063
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Journal of Wonkwang Medical Science
2008 Volume.23 No. 1 p.63 ~ p.67
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One case of Torsades de Pointes Associated with Sheehan’s syndrome
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Kim Seung-Hwan
Kim Nam-Ho
Kim Yong-Chul
Choi Jun-Ho
Park Eun-Mi
Rhee Sang-Jae
Lee Eun-Mi
Yoo Nam-Jin
Yun Kyeong-Ho
Oh Seok-Kyu
Jeong Jin-Won
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Abstract
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Torsades de Pointes is a form of polymorphic ventricular tachycardia that is associated with prolongation of QT intervals, characterized by QRS complexes of progressively changing ampulitude and cyclic length, giving the appearance of oscillations around the baseline. A 77 years-old woman was presented with hypotention and arrhythmia. Twenty four-hour ECG showed typical episodes of torsades de pointes with QT prolongation. This arrhythmia was controlled by isoproterenol and magnesium infusion, but it was not disappeared. She was diagnosed as Sheehan’s syndrome by past history, anterior pituitary stimulation test and empty sella on CT scan. After hormone replacement treatment, Prolonged QT interval was normalized and polymorphic ventricular tachycardia has not recurred. We report a case of torsades de pointes associated with Sheehan’s syndrome
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KEYWORD
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Torsades de Pointes, Hypopituitarism, Sheehan’s syndrome
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