Perinatal manifestations of idiopathic long QT syndrome

Autor: Andreas Gamillscheg, Suppan C, Stein Ji, Mache Cj, Haidvogl M, Albrecht Beitzke
Rok vydání: 1996
Předmět:
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