Cardiac memory induced by QRS widening due to propafenone toxicity

Pacing Clin Electrophysiol. 2007 Sep;30(9):1161-4. doi: 10.1111/j.1540-8159.2007.00830.x.

Abstract

Propafenone toxicity can cause significant QRS widening and markedly abnormal ventricular activation pattern. Aberrant ventricular activation upon its resolution is known to produce persistent T-wave changes known as "cardiac memory" (CM). A 74-year-old woman presented with a severely abnormal electrocardiogram consistent with propafenone toxicity. As her QRS complex narrowed, T-wave inversions developed with the T-wave axis and resolution kinetics consistent with CM. Abnormal ventricular activation due to propafenone toxicity can result in CM development.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Arrhythmia Agents / therapeutic use
  • Atrial Fibrillation / chemically induced*
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / drug therapy*
  • Atrial Fibrillation / prevention & control
  • Female
  • Humans
  • Propafenone / adverse effects*
  • Ventricular Fibrillation / chemically induced*
  • Ventricular Fibrillation / diagnosis*
  • Ventricular Fibrillation / prevention & control

Substances

  • Anti-Arrhythmia Agents
  • Propafenone