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Journal of General Internal Medicine

Erschienen in:

12.05.2016 | Clinical Practice: Clinical Vignettes

Quinine and the ABCs of Long QT: A Patient’s Misfortune with Arthritis, (Alcoholic) Beverages, and Cramps

verfasst von: Elyce T. Sheehan, MD, Jarrod D. Frizzell, MD, MS, Jude Gabaldon, MD, Michael B. West, MD

Erschienen in: Journal of General Internal Medicine | Ausgabe 10/2016

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Abstract

A 91-year-old woman presented to the emergency department by ambulance after her family found her minimally responsive. Telemetry monitoring demonstrated episodes of non-sustained polymorphic ventricular tachycardia (PMVT) associated with significantly prolonged repolarization. Her medical history revealed that she was taking quinine or a derivative in three different forms: hydroxychloroquine, quinine sulfate (for leg cramps), and her gin mixed with tonic water (containing quinine). The present case is illustrative of classic etiologies and findings of acquired long QT syndrome, and serves as an important reminder for providers to take a complete medication history, including use of duplicative and alternative medicines and type of alcohol consumption.

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Titel: Quinine and the ABCs of Long QT: A Patient’s Misfortune with Arthritis, (Alcoholic) Beverages, and Cramps
verfasst von: Elyce T. Sheehan, MD
Jarrod D. Frizzell, MD, MS
Jude Gabaldon, MD
Michael B. West, MD
Publikationsdatum: 12.05.2016
Verlag: Springer US
Erschienen in: Journal of General Internal Medicine / Ausgabe 10/2016
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-016-3738-7

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Quinine and the ABCs of Long QT: A Patient’s Misfortune with Arthritis, (Alcoholic) Beverages, and Cramps

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