Navigation Links
ICU Patients at Risk for Rare Heart Rhythm Problem
Date:2/9/2010

Experts warn of Torsade de Pointes in new scientific statement

TUESDAY, Feb. 9 (HealthDay News) -- Doctors and other health-care professionals need to be aware that certain medications can cause a rare, potentially deadly heart rhythm problem called Torsade de Pointes (TdP), says a joint scientific statement by the American Heart Association and the American College of Cardiology.

The rhythm disturbance is associated with a drop in blood pressure that can cause fainting. But TdP may also lead to a more dangerous heart rhythm disturbance called ventricular fibrillation, which can cause sudden cardiac arrest.

The scientific statement said that TdP is of particular concern for intensive care unit (ICU) patients. The risk of TdP increases with the use of medicines that prolong the heart's Q-T interval, especially medicines given intravenously, such as antibiotics, antipsychotics and antiarrhythmia drugs. The Q-T interval is a measurement on an electrocardiogram (ECG) that indicates the time for electrical activation and inactivation of the ventricles, the lower chambers of the heart.

Other risk factors for TdP include heart rhythm abnormalities, heart disease, older age, female gender, use of diuretics, kidney problems and low blood levels of calcium, potassium or magnesium.

Patients at risk for TdP should receive continuous ECG monitoring, suggests the statement, which also lists the drugs and drug combinations most likely to cause TdP and provides guidance for managing drug-induced long Q-T syndrome and immediate treatment for TdP.

"This scientific statement is particularly important for health-care professionals who administer QT-prolonging drugs in hospital units where patients have continuous ECG monitoring such as in ICUs," Barbara J. Drew, chairwoman of the statement writing committee, said in a news release. "If the ECG warning signs of TdP are recognized on the patient's cardiac monitor, then TdP and subsequent cardiac arrest should be avoidable."

The statement, which is endorsed by the American Association of Critical-Care Nurses, was published online Feb. 8 in Circulation and in the Journal of the American College of Cardiology.

More information

The American Academy of Family Physicians has more about arrhythmias.



-- Robert Preidt



SOURCE: American Heart Association, news release, Feb. 8, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Fluctuating eye pressure associated with visual field deterioration in glaucoma patients
2. Comparison of obstetric outcomes between on-call and patients own obstetricians
3. Vision restoration therapy shown to improve brain activity in brain injured patients
4. Diabetes appears to increase risk of death for patients with acute coronary syndromes
5. Ambulatory oxygen rarely a benefit in COPD patients without resting hypoxemia
6. Restricting Blood Flow May Help Heart Bypass Patients
7. Patients with Medicaid and those lacking insurance have higher risk of advanced laryngeal cancer
8. Study provides hope that some transplant patients could live free of antirejection drugs
9. Study provides hope that some transplant patients could live free of anti-rejection drugs
10. Longer ambulance journeys boost death risk for seriously ill patients
11. Expenses Overshadow Optimism for Kidney Failure Patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... The ThedaCare Center for ... General Hospital on April 5-7. The series is a multi-day, multi-workshop event designed ... workshops cover a broad range of topics, including coaching skills, the scientific method ...
(Date:2/12/2016)... Las Vegas, NV (PRWEB) , ... February 12, 2016 , ... ... of North Las Vegas Mayor John J. Lee, Nevada Military Support Alliance president Scott ... newest Fisher House at the VA Southern Nevada Healthcare System. This will be ...
(Date:2/12/2016)... ... February 12, 2016 , ... Vail knee specialist Robert LaPrade, MD, ... in 2016 . The list consists of physicians establishing, leading and partnering with ambulatory ... , An Ambulatory Surgery Center, also known as an ASC, is a modern ...
(Date:2/12/2016)... , ... February 12, 2016 , ... Donor Network West, ... California and Nevada, announced a partnership with San Ramon Regional Medical Center. Under the ... hospital’s facilities as a way to accommodate a more certain time frame for donor ...
(Date:2/12/2016)... (PRWEB) , ... February 12, 2016 , ... ... southwest Houston and surrounding communities by continuing it’s commitment to act as Agents ... Promise. The organization works closely with area homeless families to fulfill immediate needs ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... , Feb. 11, 2016  Kindred Biosciences, Inc. ... saving and improving the lives of pets, today announced ... of the New Animal Drug Application (NADA) for Zimeta™ ... field study (KB0120) of Zimeta for the control of ... Company. --> --> ...
(Date:2/11/2016)... FRANCISCO , Feb. 11, 2016   Health ... advancement of new health technologies, announced today " 10 ... achievements in health tech over the past ten years.   ... For nearly a decade, Health 2.0 has served as ... showcased and connected with thousands of technologies, companies, innovators, ...
(Date:2/11/2016)... Feb. 11, 2016  MiMedx Group, Inc. (NASDAQ: ... amniotic membrane and other birth tissues, human skin and ... and market advanced products and therapies, announced today that ... Global Healthcare Conference in New York ... Michael J. Senken , Chief Financial Officer and ...
Breaking Medicine Technology: