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CA LÂM SÀNG Issue: Số 115

A Case of Electrical Storm in Acute Myocardial Infarction with Suspected Ticagrelor-Induced QT Interval Prolongation

Nguyễn Nhật: Bệnh viện Đa khoa tỉnh Quảng Trị; Nguyễn Hữu Đức: Bệnh viện Đa khoa tỉnh Quảng Trị; Trương Văn Khánh Nguyên: Bệnh viện Đa khoa tỉnh Quảng Trị;
Published: June 30, 2025
Views: 76

Abstract

Introduction: Ticagrelor is an oral P2Y12 receptor antagonist commonly used in the management of acute coronary syndrome. However, it may cause QT interval prolongation, potentially leading to life-threatening arrhythmias such as torsades de pointes and ventricular fibrillation, especially in high-risk patients.
Case report: We report the case of a 62-year-old male patient diagnosed with non-ST elevation myocardial infarction who developed QT interval prolongation, torsades de pointes, and ventricular fibrillation following the administration of ticagrelor. The arrhythmias resolved after discontinuation of the drug.

Conclusion: Ticagrelor-induced QT prolongation and torsades de pointes are not uncommon in clinical settings. Risk stratification and close monitoring of the QT interval in high-risk patients are crucial for the timely prevention and management

Of these potentially fatal arrhythmias.

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Section CA LÂM SÀNG
Issue Số 115
Pages 114-119
Copyright Holder 2025 Journal of Vietnamese Cardiology