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Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Open Access
Case Review
Fatal Case of Delayed Repolarization Due to Cocaine Abuse and Global Ischemia
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1
Departments of Basic Science and Internal Medicine, Cardiology Section, University of Missouri-Kansas City School of Medicine,Truman Medical Center, Kansas City, MO
2
Divisions of Cardiology,Nutrition and Preventive Medicine,William Beaumont Hospital, Royal Oak, MI
Rev. Cardiovasc. Med. 2003, 4(1), 47–53;
Published: 30 March 2003
Abstract
When a previously healthy, middle-aged patient presents with apparent seizures, what should alert the physician to the possibility of underlying cardiac disease? This report describes a case of long QT syndrome, initially presenting as seizures, which expressed itself at an atypically advanced age as a result of cocaine use, global myocardial ischemia, and ventricular tachycardia.
Keywords
Syncope
Seizure
Long QT syndrome
Torsade de Pointes
Electrocardiogram