Diagnostic lacunae and implications of an automated implantable cardioverter defibrillator implantation in a child with type 3 Long QT (LQT3) syndrome
Autor: | Madan M Maddali, Pranav S Kandachar, Ismail A Al-Abri, Mohammed I Al-Yamani |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
anti-arrhythmia agents/administration and dosage
defibrillators electrocardiography implantable long qt syndrome/diagnosis long qt syndrome/drug therapy voltage-gated sodium channel blockers/administration and dosage Anesthesiology RD78.3-87.3 Diseases of the circulatory (Cardiovascular) system RC666-701 |
Zdroj: | Annals of Cardiac Anaesthesia, Vol 25, Iss 2, Pp 210-213 (2022) |
Druh dokumentu: | article |
ISSN: | 0971-9784 |
DOI: | 10.4103/aca.aca_13_21 |
Popis: | A diagnosis of congenital long QT interval syndrome based on history and electrocardiogram was made in a child in the absence of readily available genetic testing. A genotype 3 (LQT3) was suspected after exclusion of other variants as the child was non-responsive to beta-blocker and sodium channel blocker medication. As the child continues to show episodic bradycardia, polymorphic ventricular ectopy, and T-wave alternans, a single-chamber automated implantable cardioverter-defibrillator implantation was done successfully. This report highlights how the diagnosis of LQT3 was arrived at as well as the anesthetic challenges in the management of patients with LQTS. |
Databáze: | Directory of Open Access Journals |
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