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Cardiac memory induced by QRS widening due to propafenone toxicity
John V Wylie1, Peter Zimetbaum, Mark E Josephson
1Harvard-Thorndike Electrophysiology Institute,Harvard Medical School, Boston, Massachusetts, USA.
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.
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