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 |