Perinatal manifestations of idiopathic long QT syndrome
Autor: | Andreas Gamillscheg, Suppan C, Stein Ji, Mache Cj, Haidvogl M, Albrecht Beitzke |
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Rok vydání: | 1996 |
Předmět: |
Male
medicine.medical_specialty Long QT syndrome Torsades de pointes Propafenone Ventricular tachycardia Sudden death QT interval Electrocardiography Internal medicine T wave Prenatal Diagnosis medicine Humans cardiovascular diseases business.industry Infant Newborn T wave alternans medicine.disease Propranolol Fetal Diseases Long QT Syndrome Anesthesia Pediatrics Perinatology and Child Health cardiovascular system Cardiology Electrocardiography Ambulatory Tachycardia Ventricular Cardiology and Cardiovascular Medicine business Anti-Arrhythmia Agents medicine.drug |
Zdroj: | Pediatric cardiology. 17(2) |
ISSN: | 0172-0643 |
Popis: | A neonate who had presented with sustained irregular heart rate during labor was found to have QT prolongation and repetitive polymorphic ventricular tachycardia (torsades de pointes) postnatally. Propranolol and propafenone successfully controlled the ventricular arrhythmias. Follow-up electrocardiograms and Holter records show persistent QT prolongation, bizarre T waves, and intermittent episodes of T wave alternans. On propranolol monotherapy the boy is thriving and completely free of ventricular arrhythmias. In the rate case of long QT syndrome in the neonate, early detection and therapy are mandatory to prevent ventricular arrhythmias and sudden death. |
Databáze: | OpenAIRE |
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