TY - JOUR PY - 2016// TI - Drug-induced long QT syndrome increases the risk of drowning JO - Medical hypotheses A1 - Vincenzi, Frank F. SP - 11 EP - 13 VL - 87 IS - N2 - There is strong evidence linking inherited long QT syndromes with an increased risk of drowning due to fatal arrhythmias in the water. Drug-induced long QT syndrome (DILQTS) is hypothesized to increase the risk of drowning by similar mechanisms. It is suggested that QT prolongation caused by a drug or drugs, when combined with the autonomic conflict associated with the mammalian dive reflex and/or the cold shock reflex, sets up conditions that may result in a sudden fatal arrhythmia while in water - thus an increased risk of drowning related to a drug-induced prolongation of the QT interval. Many widely used drugs prolong the QT interval thus raising a drug safety issue that needs confirmation or refutation.

Language: en

LA - en SN - 0306-9877 UR - http://dx.doi.org/10.1016/j.mehy.2015.12.015 ID - ref1 ER -