Torsade de pointes induced by short-term oral amiodarone therapy

Europace. 2006 Dec;8(12):1051-3. doi: 10.1093/europace/eul118.

Abstract

Although amiodarone appears to have few pro-arrhythmic effects, torsade de pointes (TdP) has been observed during long-term drug administration, usually in conjunction with electrolyte disturbances, a change in drug dosage, or concomitant drug therapy. We report two cases of amiodarone-induced TdP shortly after administration of a low dose of oral amiodarone, in the absence of predisposing factors.

MeSH terms

  • Administration, Oral
  • Adult
  • Aged, 80 and over
  • Amiodarone / administration & dosage
  • Amiodarone / adverse effects*
  • Anti-Arrhythmia Agents / administration & dosage
  • Anti-Arrhythmia Agents / adverse effects*
  • Atrial Fibrillation / complications*
  • Atrial Fibrillation / drug therapy
  • Atrial Fibrillation / physiopathology
  • Cardiomyopathies / complications*
  • Cardiomyopathies / drug therapy
  • Cardiomyopathies / physiopathology
  • Coronary Artery Disease / complications*
  • Coronary Artery Disease / drug therapy
  • Coronary Artery Disease / physiopathology
  • Female
  • Humans
  • Syncope / complications*
  • Syncope / drug therapy
  • Syncope / physiopathology
  • Time Factors
  • Torsades de Pointes / chemically induced*
  • Torsades de Pointes / drug therapy
  • Torsades de Pointes / physiopathology

Substances

  • Anti-Arrhythmia Agents
  • Amiodarone