Journal of Tongji Medical University

, Volume 21, Issue 1, pp 30–31 | Cite as

Short-coupled variant of torsade de pointes

  • Ruan Yanfei
  • Wang Lin


Presented in this paper were 3 cases of a special kind of polymorphic ventricular tachycardia (VT). The clinical manifestation was recurrent syncope without organic heart disease. The electrocardiogram (ECG) was characterized by normal QT intervals with short-coupled variant of torsade de pointes. The efficacy of treatment with classI,I,I antiarrhythmic drugs was not apparent but verapamil had an excellent therapeutic effect for it. This kind of VT had a high incidence of sudden death, so it was very important for physicians to identify and treat it promptly with long-term verapamil. The mechanism of short-coupled variant of torsade de pointes was unclear. It probably had some relationship with triggered activity or imbalance of autonomic nervous system.

Key words

short-coupled variant ventricular tachycardia verapamil 


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Copyright information

© Springer 2001

Authors and Affiliations

  • Ruan Yanfei
    • 1
  • Wang Lin
    • 1
  1. 1.Department of Cardiology, Tongji Hospital, Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan

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