Concluded Case

LQT Syndrome

26 year old lady presented with sudden unconsciousness while eating followed by full recovery. She has no known disease for which she needs to be on medications. No history of premature death in family member. What is the diagnosis?

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Concluded answer

LQT Syndrome type 3 is the answer. Thank you all.

All Answers

Is the QT interval prolonged in this case? Actually QT interval is calculated at heart rate of 60/min If the heart rate is more than 60/min there are formulas based on which QT interval at rate of 60/min can be derived at - such calculated QT interval is called as QTc interval In this case heart rate is 64/ min, which is very close to 60/min, therefore QT interval in this strip is actual QT interval, there is no need to use a derived or formula based QT interval Now look at lead II carefully Starting of Q wave and and of T wave , there are 12 small squares, which indicate 480 milliseconds 480 milliseconds is prolonged QT interval

ECG shows sinus rhythm However, it shows prolonged QT interval Prolonged QT interval predisposes to ventricular arrhythmias Probable sure had developed arrythmia which caused her to faint and recovered in her own She need to be investigated for prolonged QT interval, in view of high risk of arrythmia she may be considered for insertion of permanent cardiiverter defibrillator based on her investigation

NSR RAD PROLONGED QTC T inversion in V1,2 ST sag in V3 to V6 Long QT syndrome Needs cardiac evaluation including Electrophysiological studies

Thank you Dr Jayesh Kalbandhe
0

NSR but Prolonged QTc > 480ms Indicating prolonged QT syndrome Cardiac work up needed

Sinus rhythm, horizontal St segment in most of the leads ( late oncet T wave) like ischemia . should be investigated sr Cal, mg , electrolyts, TFT, ECHO

ECG .. NSR .. NEED'S.. FURTHER EVALUATION WITH EXPERTS OPINION TO CONCLUDE DIAGNOSIS AND TREATMENT.. MEANWHILE TREAT SYMPTOMATICALLY..

Prolonged PR Interval QT prolongation seen. Adv Sr electrolytes.

QT prolongation Might have had transient arrhythmia

LQT Syndrome type 3 is the answer. Thank you all.

Sinus rhythm ecg WNL no worry to about all

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