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QT Prolongation and T‐Wave Alternans during Catheter Ablation of Atrial Fibrillation: A Case Report
Authors:Aditya Saini M.D.  Hemal Shah M.D.  Samir Saba M.D.   FHRS
Affiliation:Heart and Vascular Institute, University of Pittsburgh Medical Center, , Pittsburgh, PA
Abstract:We report a case of a 63‐year‐old woman who developed profound QT prolongation, T‐wave alternans, and spontaneous ventricular fibrillation during catheter ablation of atrial fibrillation. A thorough search into the possible mechanisms identified the use of sevoflurane, an inhalational gas anesthetic as the culprit. The patient was converted to propofol anesthesia and her QT interval normalized promptly.
Keywords:electrophsiology  long QT syndrome  clinical, Noninvasive techniques  T‐wave alternans  clinical, ventricular tachycardia/fibrillation  basic, atrial fibrillation/atrial arrhythmias  basic
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