Avoidable lethal torsade de pointes during pacemaker generator exchange
caused by bepridil intoxication
A 92-year-old small-framed man developed torsade de pointes during
pacemaker-generator exchange. His family physician prescribed bepridil
200 mg/day. High bepridil concentration of 1409 ng/mL was revealed.
Electrophysiologists at pacemaker clinic should pay attention to
arrhythmia management including bepridil concentration when the family
physician prescribes bepridil to a pacemaker patient.