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Reproducible Induction of "Atypical" Torsades de Pointes by Programmed Electrical Stimulation:
Authors:SUBRAMANIAM C KRISHNAN  M.D.    JOSEPH GALVIN. MRCPI  BRIAN McGOVERN  M.D.    HASAN GARAN  M.D.    JEREMY N. RUSKIN  M.D.
Affiliation:Cardiac Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
Abstract:Sotalol-Induced Polymorphic VT. We present a patient with sotalol-induced polymorphic ventricular tachycardia that was seen only with programmed ventricular stimulation. Electrophysiologic studies performed prior to initiation of sotalol therapy revealed inducible monomorphic ventricular tachycardia. Possible underlying electrophysiologic mechanisms are discussed.
Keywords:sotalol    polymorphic ventricular tachycardia    proarrhythmia
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