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Torsades de pointes historical perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The term “torsade de pointes” was first described by Dessertenne in 1966, based on the characteristic “twisting” pattern of ventricular tachycardia seen on EKG.

Historical Perspective

  • The French term is largely due to the fact that the phenomenon was originally described in a French medical journal by Dessertenne in 1966, when he observed this rhythm disorder in an 80-year-old female patient with complete intermittent atrioventricular block.
  • There has been much debate in the Circulation journal among French and American scientist whether one should write Torsades de Pointes or Torsade de Pointes.
  • As for now Torsade is prefered (unless one sees rotations around more than one axis in one episode), but both forms are used in similar frequency.[2]

References

  1. Dessertenne F (1966). “[Ventricular tachycardia with 2 variable opposing foci]”. Archives des maladies du coeur et des vaisseaux (in French). 59 (2): 263–72. PMID 4956181.
  2. Moise NS. As Americans, we should get this right. Circulation 1999 Sep 28; 100(13) 1462. PMID 10500317

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