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Metoclopramide as a Possible Cause of Prolonged QT Syndrome and Torsade de Pointes in a Patient With Heart Failure and Renal Insufficiency

Sultan M. Siddique, MD; Nasir Shariff, MD; Nimesh Vesuwala, MD; and Tariq Hafiz, MD
[+] Article, Author, and Disclosure Information

From Lehigh Valley Hospital, Allentown, PA 18104; Pottsville Hospital, Pottsville, PA 17901; and Pottsville Internist Associates, Pottsville, PA 17901.

Potential Financial Conflicts of Interest: None disclosed.

Ann Intern Med. 2009;150(7):502-504. doi:10.7326/0003-4819-150-7-200904070-00016
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Electrocardiograms with normal and prolonged QTc.

PVB = premature ventricular beat; QTC = rate-corrected QT interval. A. The electrocardiogram on admission shows normal QTc of 410 ms. B. The electrocardiogram 24 hours after admission shows prolonged QTc of 597 ms with diffuse T wave inversion in precordial leads. C. Sinus bradycardia with a PVB (single asterisk), then a “short-long-short” sequence followed by another PVB (double dagger), inducing torsade de pointes.

Grahic Jump Location




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