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{
    "pk": 963,
    "title": "Unmasking Long QT Syndrome in the Emergency Department: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Long QT syndrome (LQTS) is an uncommon disorder that can lead to potentially life-threatening dysrhythmias. LQTS can be genetic, acquired, or both.\nCase Report:\n A 44-year-old female with well-controlled hypertension and asthma presented with chest tightness. An initial electrocardiogram yielded a normal corrected QT interval of 423 milliseconds (ms) (normal <480 ms in females). Albuterol was administered and induced agitation, tremulousness, and tachycardia. Follow-up electrocardiograms demonstrated extreme prolongation of the corrected QT interval to 633 ms and morphology change of the T wave. Lab values were later notable for hypokalemia and hypomagnesemia, attributable to a recently started thiazide diuretic. The patient was ultimately diagnosed with congenital LQTS after initial unmasking by albuterol in the emergency department.\nConclusion:\n LQTS can be unmasked or exacerbated by electrolyte abnormalities and QT prolonging medications.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Long QT syndrome"
        },
        {
            "word": "torsades de pointes"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0r7119j7",
    "frozenauthors": [
        {
            "first_name": "Eric",
            "middle_name": "",
            "last_name": "Leslie",
            "name_suffix": "",
            "institution": "United States Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan",
            "department": "None"
        },
        {
            "first_name": "Andrew",
            "middle_name": "",
            "last_name": "Medenbach",
            "name_suffix": "",
            "institution": "Naval Medical Center San Diego, Department of Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Eric",
            "middle_name": "",
            "last_name": "Pittman",
            "name_suffix": "",
            "institution": "Naval Medical Center San Diego, Department of Emergency Medicine, San Diego, California",
            "department": "None"
        }
    ],
    "date_submitted": "2020-12-08T12:20:35+08:00",
    "date_accepted": "2020-12-08T12:20:35+08:00",
    "date_published": "2020-12-08T12:22:40+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/963/galley/711/download/"
        }
    ]
}