{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:40:07Z","timestamp":1745772007452,"version":"3.40.4"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 57-year-old woman presented with nausea, vomiting and diarrhoea. She had severe hypokalaemia and hypomagnesemia with marked QTc (680\u2005ms) prolongation after suspected viral diarrhoea. She then developed progressive dyspnoea with congestion. An echocardiogram was obtained and showed severe hypokinesis with apical ballooning and hyperdynamic cardiac base, suggestive of stress cardiomyopathy. A repeat ECG showed further prolongation of the QTc (883\u2005ms) and she rapidly developed polymorphic ventricular tachycardia. She underwent cardiac arrest and was successfully resuscitated. A coronary angiogram confirmed the diagnosis of stress cardiomyopathy. We had therapeutic dilemma at discharge to implant a permanent automated implantable cardiac defibrillator in view of the high risk for recurrent ventricular tachycardia, or follow-up for resolution of both reversible causes of the prolonged QTc (stress cardiomyopathy and electrolytes abnormalities). We suggested an alternate treatment for sudden death prevention in high risk patients who have reversible cause for QT interval prolongation.<\/jats:p>","DOI":"10.1136\/bcr-2013-009789","type":"journal-article","created":{"date-parts":[[2013,9,13]],"date-time":"2013-09-13T08:49:12Z","timestamp":1379062152000},"page":"bcr2013009789","source":"Crossref","is-referenced-by-count":5,"title":["Wearable cardioverter defibrillator in stress cardiomyopathy and cardiac arrest"],"prefix":"10.1136","volume":"2013","author":[{"given":"Francisco O","family":"Nascimento","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rama K","family":"Krishna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakop","family":"Hrachian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlando","family":"Santana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,9,13]]},"reference":[{"key":"2025042709172492000_2013.sep13_1.bcr2013009789.1","doi-asserted-by":"crossref","first-page":"858","DOI":"10.7326\/0003-4819-141-11-200412070-00010","article-title":"Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation acute myocardial infarction","volume":"2013","author":"Bybee","year":"2004","journal-title":"Ann Intern Med"},{"key":"2025042709172492000_2013.sep13_1.bcr2013009789.2","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1111\/j.1540-8159.2009.02590.x","article-title":"Bridging a temporary high risk of sudden arrhythmic death. 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