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. 2018 May 23;38(Suppl 1):S50–S65. doi: 10.1080/20469047.2017.1409454

Table 6. Risk factors for the development of torsades de pointes [34].

Risk factor Examples
Genetic risk factors Channelopathies
CYP3A4 poor metaboliser
Underlying cardiac disease Bradycardia
Congestive cardiac failure
Myocardial ischaemia
Atrial fibrillation
Electrolyte derangements Hypokalaemia
Hypomagnesaemia
Hypocalcaemia
Organ impairment, altering medication toxicity Renal insufficiency
Severe hepatic disease
Use of medication to increase QT liability Concurrent CYP medications administered