Fourteen-Year Follow-up in a Teenager with Congenital Long QT Syndrome Masquerading as Idiopathic Generalized Epilepsy
| Autor: | Yao-Tsung Chuang, Wei-Yuan Chuang, Kwo-Chang Ueng |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Long QT syndrome Spironolactone QT interval Idiopathic generalized epilepsy Electrocardiography Epilepsy Refractory Internal medicine Diagnosis medicine Humans Diuretics Cardiac channelopathy Genetic testing medicine.diagnostic_test business.industry Cardiac Pacing Artificial Public Health Environmental and Occupational Health Electroencephalography medicine.disease Propranolol Defibrillators Implantable Heart Arrest Congenital long QT syndrome Long QT Syndrome Tachycardia Ventricular Cardiology Epilepsy Generalized Family Practice business Anti-Arrhythmia Agents Follow-Up Studies |
| Zdroj: | The Journal of the American Board of Family Medicine. 22:331-334 |
| ISSN: | 1558-7118 1557-2625 |
| DOI: | 10.3122/jabfm.2009.03.080109 |
| Popis: | Long QT syndrome is a potentially lethal cardiac channelopathy that can be mistaken for epilepsy in young people. We report a 17-year-old man who was initially treated as having both daytime and nocturnal idiopathic epilepsy for 5 years. A series of electrocardiograms showed the time of the convulsive episodes, and genetic testing lead to the final diagnosis. The combined use of a beta-blocker and a pacemaker implant incompletely abolished the torsade de pointes. After an additional near-fatal event, a cardioverter defibrillator was implanted as final bridge therapy. An electrocardiogram with the correct calculation of the QT interval should be performed on all young people with a suggestive history; that is, treat refractory convulsive episodes specifically with nondiagnostic electroencephalograms. |
| Databáze: | OpenAIRE |
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