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There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Torsades in acquired long QT is much more likely in bradycardia because the QT interval following a long pause is longer still. The corrected QT interval is extremely long, about 500 ms. Armstrong, MD Arch Intern Med.
Although the emergency physician (along with an APRN and an RN) had not seen any alterations in the rhythm after adenosine was pushed, a paper recording of the episode was subsequently unearthed. Post-conversion : Back to sinus with classic LBBB pattern The WCT was presumed to be VT, and the patient admitted. A surprise clue!
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