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Rounds in the General Hospital

Recommendations for QTc Monitoring: Rational or Arbitrary?

Lawrence N. Benjamin, MD; Suzanne Elshafey, MD; Emmett A. Kistler, MD; Andrew Oseran, MD, MBA; Stephanie M. Rutledge, MD; Isaac D. Smith, MD; Miranda Theodore, MD; Rachael A. Venn, MD; and Theodore A. Stern, MD

Published: October 4, 2018

Article Abstract

Because this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text.

Have you ever wondered if and how often an electrocardiogram (EKG) should be obtained to monitor the QTc? Have you been unclear about which medical and metabolic conditions and medications can prolong the QTc? If you have, then this case of an elderly man with symptoms referable to multiple organ systems and treatment that involved several agents with QTc-prolonging side effects should prove helpful.

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