Safety of Antipsychotics in the Setting of QTc Prolongation: The Utility of the JT Index

Medication that prolongs cardiac repolarization may increase the risk for re-entrant ventricular arrhythmias, notably torsade de pointes, through the increased variability of heart rate corrected QT interval (QTc), or "QT dispersion" (1). QT and JT Interval Measurements With Left Bundle Br...

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Veröffentlicht in:The American journal of psychiatry 2011-09, Vol.168 (9), p.990-991
Hauptverfasser: Mukherji, Emily H., Bauer, Leah K., Leskov, Ilya, Januzzi, James Louis, Tanev, Kaloyan S.
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container_end_page 991
container_issue 9
container_start_page 990
container_title The American journal of psychiatry
container_volume 168
creator Mukherji, Emily H.
Bauer, Leah K.
Leskov, Ilya
Januzzi, James Louis
Tanev, Kaloyan S.
description Medication that prolongs cardiac repolarization may increase the risk for re-entrant ventricular arrhythmias, notably torsade de pointes, through the increased variability of heart rate corrected QT interval (QTc), or "QT dispersion" (1). QT and JT Interval Measurements With Left Bundle Branch Block Case Report "Mrs. R" is a 77-year-old woman with bipolar disorder, hypothyroidism, coronary artery disease, and known left bundle branch block since at least 2003.
doi_str_mv 10.1176/appi.ajp.2011.10121734
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subjects Aged
Antipsychotic Agents - adverse effects
Antipsychotic Agents - therapeutic use
Aripiprazole
Bipolar Disorder - drug therapy
Bundle-Branch Block - complications
Cardiac arrhythmia
Combined Modality Therapy
Cooperative Behavior
Electrocardiography
Electrocardiography - drug effects
Electroconvulsive Therapy
Female
Haloperidol - adverse effects
Haloperidol - therapeutic use
Heart rate
Humans
Hypothyroidism
Interdisciplinary Communication
Long QT Syndrome - chemically induced
Piperazines - therapeutic use
Psychotropic drugs
Quinolones - therapeutic use
Risk Factors
Torsades de Pointes - chemically induced
Torsades de Pointes - prevention & control
title Safety of Antipsychotics in the Setting of QTc Prolongation: The Utility of the JT Index
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