Long QT syndrome in a neonate

Congenital long QT syndrome (cLQTS) is a channelopathy characterized by ventricular repolarization disturbances. The clinical presentation varies from an asymptomatic patient to a patient with recurrent syncopes, seizures, and even sudden death. This article aims to contribute to medical knowledge...

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Main Authors: Rodríguez Balderrama, Isaías, Morales Rodríguez, Idelma Berenise, Rodríguez Martínez, V., Rodríguez Bonito, Rogelio
Format: Article
Language:English
Published: UANL. Facultad de Medicina 2015
Subjects:
Online Access:http://eprints.uanl.mx/11490/1/S1665579614000039_S300_en.pdf
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author Rodríguez Balderrama, Isaías
Morales Rodríguez, Idelma Berenise
Rodríguez Martínez, V.
Rodríguez Bonito, Rogelio
author_facet Rodríguez Balderrama, Isaías
Morales Rodríguez, Idelma Berenise
Rodríguez Martínez, V.
Rodríguez Bonito, Rogelio
author_sort Rodríguez Balderrama, Isaías
collection Repositorio Institucional
description Congenital long QT syndrome (cLQTS) is a channelopathy characterized by ventricular repolarization disturbances. The clinical presentation varies from an asymptomatic patient to a patient with recurrent syncopes, seizures, and even sudden death. This article aims to contribute to medical knowledge of this relatively new disease in newborns, so that early diagnoses with timely treatments can be made. Genotypically, there are 13 types of cLQTS, which are classified by phenotype into: Romano-Ward, Jervell-Lange-Nielsen, Andersen-Tawil and Timothy. We present the following case of a newborn who presented clinical sustained bradycardia on her first day of life, who was admitted to the Neonatal Intensive Care, where her assessment and imaging studies guided us to a cLQTS diagnosis. The patient recovered satisfactorily, and was discharged with outpatient follow-up without complications. All abnormal QT patients should be assessed with an integral clinical report, Holter analyzer, and a stress test. Ideally, a genetic screening, which can have a great impact on the treatment, should be done. Although it is relatively uncommon, recognition of this entity is important because it can prevent death. We present a case of cLQTS diagnosis, with approach and treatment.
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spelling eprints-114902017-01-23T22:00:31Z http://eprints.uanl.mx/11490/ Long QT syndrome in a neonate Rodríguez Balderrama, Isaías Morales Rodríguez, Idelma Berenise Rodríguez Martínez, V. Rodríguez Bonito, Rogelio RJ Pediatría Congenital long QT syndrome (cLQTS) is a channelopathy characterized by ventricular repolarization disturbances. The clinical presentation varies from an asymptomatic patient to a patient with recurrent syncopes, seizures, and even sudden death. This article aims to contribute to medical knowledge of this relatively new disease in newborns, so that early diagnoses with timely treatments can be made. Genotypically, there are 13 types of cLQTS, which are classified by phenotype into: Romano-Ward, Jervell-Lange-Nielsen, Andersen-Tawil and Timothy. We present the following case of a newborn who presented clinical sustained bradycardia on her first day of life, who was admitted to the Neonatal Intensive Care, where her assessment and imaging studies guided us to a cLQTS diagnosis. The patient recovered satisfactorily, and was discharged with outpatient follow-up without complications. All abnormal QT patients should be assessed with an integral clinical report, Holter analyzer, and a stress test. Ideally, a genetic screening, which can have a great impact on the treatment, should be done. Although it is relatively uncommon, recognition of this entity is important because it can prevent death. We present a case of cLQTS diagnosis, with approach and treatment. UANL. Facultad de Medicina 2015 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/11490/1/S1665579614000039_S300_en.pdf http://eprints.uanl.mx/11490/1.haspreviewThumbnailVersion/S1665579614000039_S300_en.pdf Rodríguez Balderrama, Isaías y Morales Rodríguez, Idelma Berenise y Rodríguez Martínez, V. y Rodríguez Bonito, Rogelio (2015) Long QT syndrome in a neonate. Medicina universitaria, 17 (66). pp. 46-48. ISSN 1665-5796
spellingShingle RJ Pediatría
Rodríguez Balderrama, Isaías
Morales Rodríguez, Idelma Berenise
Rodríguez Martínez, V.
Rodríguez Bonito, Rogelio
Long QT syndrome in a neonate
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Long QT syndrome in a neonate
title_full Long QT syndrome in a neonate
title_fullStr Long QT syndrome in a neonate
title_full_unstemmed Long QT syndrome in a neonate
title_short Long QT syndrome in a neonate
title_sort long qt syndrome in a neonate
topic RJ Pediatría
url http://eprints.uanl.mx/11490/1/S1665579614000039_S300_en.pdf
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