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. 2016 Apr 8;149(3):139–152. doi: 10.1177/1715163516641136

Table 3.

Risk factors for torsades de pointes2,4,6

• QTc interval >500 ms
• Increase in QTc interval >60 ms compared with pretreatment value
• Advanced age
• Female sex
• Acute myocardial infarction
• Heart failure with reduced ejection fraction
• Hypokalemia
• Hypomagnesemia
• Hypocalcemia
• Bradycardia
• Treatment with diuretics
• Concurrent administration of >1 QTc interval–prolonging drugs
• Elevated plasma concentrations of QTc interval–prolonging drugs
 ○ Inadequate dose adjustment of renally eliminated drug in patients with acute kidney injury or chronic kidney disease
 ○ Rapid intravenous infusion of QTc interval–prolonging drug
 ○ Drug interaction(s)
• Possible genetic predisposition