Diagnostic and management difficulties in congenitally long QT syndrome: a single centre experience
| Autor: | Osman Küçükosmanoğlu, Alev Arslan, Nazan Özbarlas, Sevcan Erdem |
|---|---|
| Přispěvatelé: | Çukurova Üniversitesi |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gynecology
lcsh:R5-920 medicine.medical_specialty Pediatrics business.industry Long QT syndrome LQTS syncope lcsh:R lcsh:Medicine General Medicine 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences Single centre Long QT Syndrome 0302 clinical medicine syncope sudden cardiac arrest medicine lcsh:Medicine (General) business Implantable Cardioverter Defibrillator Sudden cardiac arrest 030217 neurology & neurosurgery Cerrahi |
| Zdroj: | Volume: 41, Issue: 1 47-50 Cukurova Medical Journal Çukurova Üniversitesi Tıp Fakültesi Dergisi, Vol 41, Iss 1, Pp 47-50 (2016) |
| ISSN: | 2602-3032 2602-3040 |
| Popis: | Purpose: Long QT Syndrome (LQTS) is characterized by prolonged ventricular repolarization and tendency to malignant tachyarrhythmia. We reported 16 patient diagnosed congenitally LQTS as a tertiary centre's 12 years experience. Material and Methods: Patients whom diagnosed as congenitally LQTS in Cukurova University Divison of Pediatric Cardiology between years 2001 to 2013 were included the study.Results: Sixteen patients (6 female, 12 male) were diagnosed as congenitally LQTS. Mean age of patients was 10 years (2.6-20 years), mean follow up period was 35 months (11-120 months). Mean corrected QT interval was measured 520 ms (470-590 ms). At the diagnosis nine of sixteen patients (56%) had syncope, convulsion or cardiac arrest history, and three of them were misdiagnosed as epilepsy and were treated with antiepileptic drugs as well.Conclusion: We want to underline the importance of electrocardiography monitoring at all family members and some patients who misdiagnosed as recurrent seizures. Amaç: Uzun QT Sendromu (LQTS) uzamış ventriküler repolarizasyon zamanı ve malign taşikardiye eğilim ile karakterizedir. Bu yazıda doğumsal LQTS tanısı almış 16 hastamızda 12 yıllık deneyimimizi sunduk. Gereç ve Yöntem: Çalışmamızda Çukurova Üniversitesi Pediatrik kardiyoloji bölümünde 2001-2013 yılları arasında konjenital olarak LQTS tanısı alan hastalar dahil edildi.Bulgular: 16 hastaya (6 kadın, 12 erkek) konjenital LQTS tanısı konuldu. Hastaların ortalama yaşı 10 (2.6-20 yaş) ortalama takip süresi ise 35 ay idi (11-120 ay). Ortalama doğrulanmış QT intervali 520 ms (470-590 ms) olarak ölçüldü. Teşhis esnasında onaltı hastadan dokuzunda senkop, konvülsiyon veya kalp krizi hikayesi varken üç hastaya yanlış epilepsi teşhisi konarak antiepiletik ilaçlarla tedavi edilmiş.Sonuç: Özellikle tüm aile bireylerinde yüzeyel EKG taramasının önemini ve bazen hastaların yanlış tanı alarak tekrarlayan dirençli nöbet olarak tedavi edildiklerini vurgulamak istedik. |
| Databáze: | OpenAIRE |
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