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Cardiology Research and Practice
Volume 2011, Article ID 198653, 3 pages
Case Report

Partners in Crime in the Setting of Recurring Cardiac Arrest

Cardiology Department, Tor Vergata University Hospital of Rome, Viale Oxford 81, 00133 Rome, Italy

Received 19 October 2010; Revised 28 November 2010; Accepted 15 January 2011

Academic Editor: Vladimír Džavík

Copyright © 2011 Lida P. Papavasileiou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


No previous reports are available about the potential dramatic effects resulting from the combination of acquired long QT interval not associated to bradycardia and myocardial ischemia. We report the case of a man that during acute necrotic pancreatitis presented QT interval prolongation without bradycardia, TdP, and two episodes of cardiac arrest. A coronary angiogram revealed a subocclusive stenosis of left anterior descending coronary artery, treated with a percutaneous coronary intervention. After myocardial revascularization, even in presence of long QT interval, no arrhythmic events occurred suggesting the key role of myocardial ischemia in triggering TdP in acquired long QT even without bradycardia. ECG performed six months later, after complete recovery from pancreatitis, showed a normal QT interval.