100 QUESTIONS IN CARDIOLOGY

(Michael S) #1
necessary. Ventricular pacing should be maintained and the ECG

monitored while the factors predisposing to the development of

torsade are considered and corrected. There is no role for conven-

tional antiarrhythmic drugs in the management of torsade de

pointes: on the contrary many antiarrhythmics may aggravate the

situation.

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Haverkamp W, Shenasa M, Borggrefe M et al. Torsade de pointes. In: Zipes
DP, Jalife J, eds. Cardiac electrophysiology: from cell to bedside. WB Saunders,
1995: Chapter 79.
Tzivoni D, Banai S, Schuger C et al. Treatment of torsade de pointes with
magnesium sulfate. Circulation1988; 7777 : 392–7.

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